Provider Demographics
NPI:1982997508
Name:EZ TALK 4 KIDZ CORP
Entity Type:Organization
Organization Name:EZ TALK 4 KIDZ CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-763-2384
Mailing Address - Street 1:1871 NW SOUTH RIVER DR UNIT 1101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2774
Mailing Address - Country:US
Mailing Address - Phone:305-763-2384
Mailing Address - Fax:305-508-4212
Practice Address - Street 1:7220 NW 36TH ST STE 643
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-6737
Practice Address - Country:US
Practice Address - Phone:305-763-2384
Practice Address - Fax:305-508-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)