Provider Demographics
NPI:1598362204
Name:SPEECH OF MIAMI INC
Entity Type:Organization
Organization Name:SPEECH OF MIAMI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKENGE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-562-2097
Mailing Address - Street 1:671 BILTMORE WAY APT 503
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7502
Mailing Address - Country:US
Mailing Address - Phone:305-562-2097
Mailing Address - Fax:
Practice Address - Street 1:671 BILTMORE WAY APT 503
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-7502
Practice Address - Country:US
Practice Address - Phone:305-562-2097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty