Individual
ALISA MACHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 N MIAMI AVE APT 2211, MIAMI, FL 33128-1939
(347) 668-8708
Mailing address
240 N MIAMI AVE APT 2211, MIAMI, FL 33128-1939
(347) 668-8708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102168800
—
FL
Enumeration date
02/25/2019
Last updated
02/09/2022
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