Provider Demographics
NPI:1598511495
Name:NUNES STOBINSKY, TATIELE
Entity type:Individual
Prefix:
First Name:TATIELE
Middle Name:
Last Name:NUNES STOBINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22191 POWERLINE RD STE 17B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5006
Mailing Address - Country:US
Mailing Address - Phone:561-368-3433
Mailing Address - Fax:
Practice Address - Street 1:22191 POWERLINE RD STE 17B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5006
Practice Address - Country:US
Practice Address - Phone:561-368-3433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5810237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist