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Andy Parada Medina

Speech-Language Pathologist, in Fort Lauderdale, FL. Individual provider (NPI-1).

NPI number1053936005
StatusActive
Last updated in NPPESMar 2, 2026

Details

NPI
1053936005
Entity type
Individual (NPI-1)
Name
Andy Parada Medina
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2020
Certification date
Mar 2, 2026
Last updated
Mar 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA24400FLYes
106S00000X Behavior Technician––

Practice location

730 Sw 124th Ter
Fort Lauderdale, FL 33325-3460

Phone 305-801-5769

Mailing address

730 Sw 124th Ter
Fort Lauderdale, FL 33325-3460

Phone 305-801-5769

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