Provider Demographics
NPI:1427221191
Name:KALINA, CLIFFORD M (AUD)
Entity Type:Individual
Prefix:MR
First Name:CLIFFORD
Middle Name:M
Last Name:KALINA
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 RED ROAD
Mailing Address - Street 2:SUITE 704
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3622
Mailing Address - Country:US
Mailing Address - Phone:305-666-0203
Mailing Address - Fax:786-533-1502
Practice Address - Street 1:6705 RED ROAD
Practice Address - Street 2:SUITE 704
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:305-666-0203
Practice Address - Fax:786-533-1502
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 1193231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAY 1193OtherSTATE AUDIOLOGY LICENSE
FL600392300Medicaid
FLAY 1193OtherSTATE AUDIOLOGY LICENSE