Bank, Dina Decosta

Bank, Dina Decosta is an individual health care provider with primary practice located at 12701 W Sunrise Blvd , Sunrise FL 33323-0907. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bank, Dina Decosta can be contacted via phone (954) 792-8772.

Contact Information

Primary practice address
12701 W Sunrise Blvd Sunrise FL 33323-0907
Phone: (954) 792-8772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 5317 Florida

Profile Details

NPI number 1649326919
LBN Legal business name Bank, Dina Decosta
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649326919 NPPES
Florida Other 85-8012647 130C-1 TAX ID #

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