Individual
MRS. DAWN MICHELLE EUSTACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10064 SW 117TH CT, MIAMI, FL 33186-8521
(305) 205-9565
Mailing address
10064 SW 117TH CT, MIAMI, FL 33186-8521
(305) 205-9565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 5117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884675800
—
FL
Enumeration date
05/25/2006
Last updated
02/20/2015
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