Individual
CAROLINA BANCORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5979 NW 151ST ST, SUITE 208, MIAMI LAKES, FL 33014-2400
(305) 362-3300
(305) 362-0202
Mailing address
5979 NW 151ST ST, SUITE #208, MIAMI LAKES, FL 33014-2400
(305) 362-3300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6076
FL
Other
Enumeration date
10/28/2012
Last updated
12/07/2016
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