Provider Demographics
NPI:1598362204
Name:SPEECH OF MIAMI INC
Entity type:Organization
Organization Name:SPEECH OF MIAMI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKENGE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-562-2097
Mailing Address - Street 1:14243 SW 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1527
Mailing Address - Country:US
Mailing Address - Phone:305-562-2097
Mailing Address - Fax:786-329-6464
Practice Address - Street 1:14243 SW 80TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33158-1527
Practice Address - Country:US
Practice Address - Phone:305-562-2097
Practice Address - Fax:786-329-6464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty