| Star Swallow Inc | |
|
17003 Sw 94th Way Miami FL 33196-4747 | |
| (786) 253-5512 | |
| Not Available |
| Full Name | Star Swallow Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17003 Sw 94th Way, Miami, Florida |
| Authorized Official Name and Position | Shirley Cabrera (OWNER) |
| Authorized Official Contact | 7862535512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Swallow Inc 17003 Sw 94th Way Miami FL 33196-4747 Ph: (786) 253-5512 | Star Swallow Inc 17003 Sw 94th Way Miami FL 33196-4747 Ph: (786) 253-5512 |
| NPI Number | 1548025562 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 5496194383 |
|---|---|
| Medicare Enrollment ID | O20240411001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548025562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shirley Cabrera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730798141 PECOS PAC ID: 4183082563 Enrollment ID: I20230615003609 |
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