Marina Taylor Anastacio, SLP
Speech-Language Pathologist, in Doral, FL. Individual provider (NPI-1).
NPI number1427713452
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1427713452
- Entity type
- Individual (NPI-1)
- Name
- Marina Taylor Anastacio
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2021
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SZ11584 | FL | Yes |
Practice location
8350 Nw 52nd Ter Ste 301Doral, FL 33166-7708
Phone 305-273-4141
Mailing address
1884 W 64th StHialeah, FL 33012-6018
Phone 305-613-0920
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