Provider Demographics
NPI:1114294915
Name:NOREDYS SIRE CORP
Entity Type:Organization
Organization Name:NOREDYS SIRE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREDYS
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-382-7073
Mailing Address - Street 1:6858 SW 158TH PASS
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3613
Mailing Address - Country:US
Mailing Address - Phone:305-382-7073
Mailing Address - Fax:
Practice Address - Street 1:6858 SW 158TH PASS
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3613
Practice Address - Country:US
Practice Address - Phone:305-382-7073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 5056235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty