Miccio, Mariela Ines

Miccio, Mariela Ines is an sole proprietor health care provider with primary practice located at 6160 Sw 195Th Ave , Fort Lauderdale FL 33332-3391. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Miccio, Mariela Ines can be contacted via phone (786) 348-6957.

Contact Information

Primary practice address
6160 Sw 195Th Ave Fort Lauderdale FL 33332-3391
Phone: (786) 348-6957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA13468 Florida

Profile Details

NPI number 1497163570
LBN Legal business name Miccio, Mariela Ines
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2014
Last updated Jul 10th, 2023 - about 3 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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