Organization
BUBBLES THERAPY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM MEDINA M.S/SLP (PRESIDENT)
(407) 729-8498
Entity
Organization
Contact information
Practice address
11724 CRANBOURNE DR, ORLANDO, FL 32837-5756
(407) 729-8498
Mailing address
11724 CRANBOURNE DR, ORLANDO, FL 32837-5756
(407) 729-8498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14184
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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