Individual
ELBA M. TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2736 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4808
(954) 603-1881
Mailing address
12980 VISTA ISLES DR APT 316, PLANTATION, FL 33325-1342
(787) 420-3716
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
1515
PR
235Z00000X
Speech-Language Pathologist
Primary
4046
PR
Other
Enumeration date
07/22/2011
Last updated
02/28/2022
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