Provider Demographics
NPI:1609631498
Name:AMA'L SPEECH THERAPY SERVICES INC
Entity Type:Organization
Organization Name:AMA'L SPEECH THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZTAMBIDE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:939-263-5043
Mailing Address - Street 1:481 NE 6TH CT
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-3263
Mailing Address - Country:US
Mailing Address - Phone:939-263-5043
Mailing Address - Fax:
Practice Address - Street 1:481 NE 6TH CT
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-3263
Practice Address - Country:US
Practice Address - Phone:939-263-5043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center