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Individual

CAROLINA VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 N KROME AVE, HOMESTEAD, FL 33030-6014
(786) 601-2042
Mailing address
1253 MAJESTY TER, WESTON, FL 33327-2307

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16978
FL

Other

Enumeration date
10/04/2017
Last updated
07/10/2020
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