Provider Demographics
NPI:1427329481
Name:MIAMI SPEECH INSTITUTE, LLC
Entity type:Organization
Organization Name:MIAMI SPEECH INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL SPEECH LANGUAGE PATHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:786-541-7289
Mailing Address - Street 1:5848 PARADISE POINT DR
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2646
Mailing Address - Country:US
Mailing Address - Phone:786-541-7289
Mailing Address - Fax:786-502-2146
Practice Address - Street 1:5848 PARADISE POINT DR
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-2646
Practice Address - Country:US
Practice Address - Phone:786-541-7289
Practice Address - Fax:786-502-2146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004501000Medicaid