Heredia, Lynda
Heredia, Lynda is an sole proprietor health care provider with primary practice located at 401 Miracle Mile Suite 403, Coral Gables FL 33134-4930. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Heredia, Lynda can be contacted via phone (305) 446-1098.Contact Information
Primary practice address
401 Miracle Mile Suite 403
Coral Gables FL 33134-4930
Phone: (305) 446-1098
Fax: (305) 446-1638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 3155 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1376608018 |
---|---|
LBN Legal business name | Heredia, Lynda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2006 |
Last updated | Feb 15th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376608018 | NPPES |
Florida | MEDICAID | 812147800 | |
Florida | MEDICAID | 888005100 |
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