; NPI #1134596372

Contact Information

YANITZA VAZQUEZ, MA CCC-SLP

2900 S COMMERCE PKWY
WESTON, FL 33331-3622

Phone: 954-217-6326
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1134596372

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 08/24/2015

Last updated 08/24/2015 - About 11 years ago

Identifiers

FL	License #	SA13823
FL	Medicaid	010060900

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Children

NPI Profile & details for

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