Provider Demographics
NPI:1811171044
Name:FORARE, FELICIA MARIE
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:MARIE
Last Name:FORARE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FELICIA
Other - Middle Name:MARIE
Other - Last Name:AGUIAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3043
Mailing Address - Country:US
Mailing Address - Phone:305-778-2790
Mailing Address - Fax:305-778-2790
Practice Address - Street 1:525 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3043
Practice Address - Country:US
Practice Address - Phone:305-439-0623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9832235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist