Innovative Speech Therapy Group

LBN: Innovative Speech Therapy Group
Innovative Speech Therapy Group is an health care organization with primary practice located at 1597 Sw 194Th Ter , Pembroke Pines FL 33029-6161. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Innovative Speech Therapy Group can be contacted via phone (754) 234-6577, or through Williams, Juliet via phone (754) 234-6577.

Contact Information

Primary practice address
1597 Sw 194Th Ter Pembroke Pines FL 33029-6161
Phone: (754) 234-6577
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Juliet
Phone: (754) 234-6577

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 9460 Florida

Profile Details

NPI number 1689085300
LBN Legal business name Innovative Speech Therapy Group
DBA Doing business as
Authorized official Williams, Juliet
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2014
Last updated May 15th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689085300 NPPES
Florida Other 001704500 MEDICAID NUMBER

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