Provider Demographics
NPI:1457488280
Name:GURFINKEL, MARIA EUGENIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA EUGENIA
Middle Name:
Last Name:GURFINKEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 INDIAN TRACE, SUITE 324
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2996
Mailing Address - Country:US
Mailing Address - Phone:954-560-1665
Mailing Address - Fax:954-337-0425
Practice Address - Street 1:1500 WESTON ROAD, SUITE 211
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3263
Practice Address - Country:US
Practice Address - Phone:954-560-1665
Practice Address - Fax:954-337-0425
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8513222Q00000X, 252Y00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006527200OtherPROFESSIONAL EARLY INTERVENTION SERVICES MEDICAID
FL891992500Medicaid