Smith, Stacie Rubin

Smith, Stacie Rubin is an individual health care provider with primary practice located at 6200 Sw 73Rd St Child Development Center, South Miami FL 33143-4679. 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. Smith, Stacie Rubin can be contacted via phone (786) 662-5080.

Contact Information

Primary practice address
6200 Sw 73Rd St Child Development Center South Miami FL 33143-4679
Phone: (786) 662-5080
Fax: (786) 662-5081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA1744 Florida

Profile Details

NPI number 1215176656
LBN Legal business name Smith, Stacie Rubin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2009
Last updated Feb 9th, 2009 - about 17 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 1215176656 NPPES
Florida MEDICAID 010058700
Florida Other 1982688230

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