Organization
COMMUNITY SPEECH THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILENA RODRIGUEZ MENDEZ CCC-SLP (OWNER)
(305) 414-1808
Entity
Organization
Contact information
Practice address
12380 SW 219TH ST, MIAMI, FL 33170-2850
(305) 414-1808
Mailing address
12380 SW 219TH ST, MIAMI, FL 33170-2850
(305) 414-1808
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA16134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20707000
—
FL
Enumeration date
06/29/2018
Last updated
06/29/2018
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