Provider Demographics
NPI:1669013132
Name:DANIEL CASAL, LLC
Entity Type:Organization
Organization Name:DANIEL CASAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASAL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:786-499-1379
Mailing Address - Street 1:6900 BIRD RD # 7161
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3709
Mailing Address - Country:US
Mailing Address - Phone:786-499-1379
Mailing Address - Fax:786-573-8101
Practice Address - Street 1:6900 BIRD RD # 7161
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3709
Practice Address - Country:US
Practice Address - Phone:786-499-1379
Practice Address - Fax:786-573-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty