Provider Demographics
NPI:1699056770
Name:SMATRAKALEVA, NONA GEORGIEVA
Entity type:Individual
Prefix:MS
First Name:NONA
Middle Name:GEORGIEVA
Last Name:SMATRAKALEVA
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 1:3105 OAKLAND SHORES DR APT J210
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-7518
Mailing Address - Country:US
Mailing Address - Phone:954-478-5897
Mailing Address - Fax:
Practice Address - Street 1:2708 NE 14TH STREET
Practice Address - Street 2:SUITE 5, BUTTERFLY EFFECTS
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:888-880-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist