Provider Demographics
NPI:1558013524
Name:NOMI SPEECH THERAPY INC
Entity type:Organization
Organization Name:NOMI SPEECH THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:TEJADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-650-9521
Mailing Address - Street 1:10314 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1709
Mailing Address - Country:US
Mailing Address - Phone:786-512-3238
Mailing Address - Fax:
Practice Address - Street 1:10314 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1709
Practice Address - Country:US
Practice Address - Phone:786-512-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech