Provider Demographics
NPI:1700591021
Name:ZAMBRANO, MARIA CAMILA (SLPA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CAMILA
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10875 NW 81ST LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6026
Mailing Address - Country:US
Mailing Address - Phone:786-234-6210
Mailing Address - Fax:
Practice Address - Street 1:10875 NW 81ST LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33178-6026
Practice Address - Country:US
Practice Address - Phone:786-234-6210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI60172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant