| Speech Of Miami Inc | |
|
14243 Sw 80th Ave Palmetto Bay FL 33158-1527 | |
| (305) 562-2097 | |
| (786) 329-6464 |
| Full Name | Speech Of Miami Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14243 Sw 80th Ave, Palmetto Bay, Florida |
| Authorized Official Name and Position | Carolina Kokenge (PRESIDENT) |
| Authorized Official Contact | 3055622097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Of Miami Inc 14243 Sw 80th Ave Palmetto Bay FL 33158-1527 Ph: (305) 562-2097 | Speech Of Miami Inc 14243 Sw 80th Ave Palmetto Bay FL 33158-1527 Ph: (305) 562-2097 |
| NPI Number | 1598362204 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 9436533908 |
|---|---|
| Medicare Enrollment ID | O20220901000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598362204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carolina Marie Kokenge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467060442 PECOS PAC ID: 0345624813 Enrollment ID: I20220901000666 |
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