Corcos, Melissa Lea

Corcos, Melissa Lea is an individual health care provider with primary practice located at 1790 Sw 43Rd Way , Fort Lauderdale FL 33317-5701. 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. Corcos, Melissa Lea can be contacted via phone (855) 442-2454.

Contact Information

Primary practice address
1790 Sw 43Rd Way Fort Lauderdale FL 33317-5701
Phone: (855) 442-2454
Fax: (954) 206-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA13925 Florida

Profile Details

NPI number 1174938443
LBN Legal business name Corcos, Melissa Lea
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Nov 21st, 2017 - about 9 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 1174938443 NPPES
Florida MEDICAID 012443500

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