Provider Demographics
NPI:1538294111
Name:MIAMI FLUENCY CLINIC, INC.
Entity Type:Organization
Organization Name:MIAMI FLUENCY CLINIC, INC.
Other - Org Name:BROWARD FLUENCY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPLITTER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:954-424-0380
Mailing Address - Street 1:12515 ORANGE DR
Mailing Address - Street 2:SUITE 809
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4309
Mailing Address - Country:US
Mailing Address - Phone:954-424-0380
Mailing Address - Fax:954-424-9971
Practice Address - Street 1:12515 ORANGE DR
Practice Address - Street 2:SUITE 809
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4309
Practice Address - Country:US
Practice Address - Phone:954-424-0380
Practice Address - Fax:954-424-9971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 2325235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2797736000OtherINDEPENDENCE BLUE CROSS
FLS0963OtherBCBSF PROVIDER NUMBER