Mark, Averil Kayla

Mark, Averil Kayla is an individual health care provider with primary practice located at 12207 Sw 6Th St , Pembroke Pines FL 33025-5927. 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. Mark, Averil Kayla can be contacted via phone (954) 683-7090.

Contact Information

Primary practice address
12207 Sw 6Th St Pembroke Pines FL 33025-5927
Phone: (954) 683-7090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA6383 Florida

Profile Details

NPI number 1003933748
LBN Legal business name Mark, Averil Kayla
Credentials M.S.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 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 1003933748 NPPES
Florida MEDICAID 888346700

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