Johan Orlando Fundora Caraballo, MS SLP | |
8828 Nw 112th Ter, Hialeah Gardens, FL 33018-4534 | |
(305) 680-9627 | |
Not Available |
Full Name | Johan Orlando Fundora Caraballo |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 8828 Nw 112th Ter, Hialeah Gardens, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649058843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Johan Orlando Fundora Caraballo, MS SLP 8828 Nw 112th Ter, Hialeah Gardens, FL 33018-4534 Ph: (305) 680-9627 | Johan Orlando Fundora Caraballo, MS SLP 8828 Nw 112th Ter, Hialeah Gardens, FL 33018-4534 Ph: (305) 680-9627 |
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