Individual
MRS. ANNETTE M BETANCOURT DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 72ND ST STE 358, MIAMI, FL 33173-3020
(786) 313-3541
Mailing address
10300 SW 72ND STREET, SUITE 358, MIAMI, FL 33173-3029
(786) 553-7032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008257100
—
FL
Enumeration date
02/12/2013
Last updated
07/21/2022
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