Mirabal, Gregory William

Mirabal, Gregory William is an sole proprietor health care provider with primary practice located at 1 Bowen Dr Ste 1 , Key Largo FL 33037-2902. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Mirabal, Gregory William can be contacted via phone (305) 704-0313.

Contact Information

Primary practice address
1 Bowen Dr Ste 1 Key Largo FL 33037-2902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ11179 Florida

Profile Details

NPI number 1053189712
LBN Legal business name Mirabal, Gregory William
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053189712 NPPES
Florida Other SZ11179 FL DOH

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