Bridge Of Hope Central Florida Corp
Speech-Language Pathologist, in Coral Gables, FL. Organization (NPI-2).
NPI number1558716415
StatusActive
Last updated in NPPESMay 2, 2016
Details
- NPI
- 1558716415
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge Of Hope Central Florida Corp
- Organization subpart
- No
- Enumeration date
- Apr 28, 2016
- Last updated
- May 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA11401 | FL | Yes |
| 225100000X | Physical Therapist | PT15334 | FL | |
| 225X00000X | Occupational Therapist | OT15902 | FL |
Practice location
2955 Coral Way1821 Sw 27th Ave
Coral Gables, FL 33145-3205
Phone 407-575-4636 · Fax 407-343-5599
Mailing address
Po Box 452878Kissimmee, FL 34745-2878
Phone 407-575-4636 · Fax 407-343-5599
Authorized official
Hector L Rodriguez
President
4075754636
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