Individual
MRS. GRACE HOMEIDAN ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2051 NW 112TH AVE STE 125, MIAMI, FL 33172
(305) 878-0083
Mailing address
1000 WEST AVE, #1411, MIAMI BEACH, FL 33139-4759
(305) 878-0083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12467
FL
Other
Enumeration date
09/13/2012
Last updated
06/05/2018
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