Sophia Fernandez – Speech-Language Pathologist

Key facts

NPI: 1124713201
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 10819 (FL)
Practice address: 2780 SW 37TH Ave Ste 203
Coconut Grove, FL 33133-2740
Phone: (786) 622-2353
NPI assigned: Apr 5, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Innovative Pediatric Learning Center of Miami Speech-Language Pathologist · Coconut Grove, FL · NPI 1023587185

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
10819	FL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Innovative Pediatric Learning Center of Miami	Speech-Language Pathologist	Past since Apr 9, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	10819	FL	Yes

Addresses

Primary practice location

2780 SW 37TH Ave Ste 203
Coconut Grove, FL 33133-2740

Mailing address

1015 Venetia Ave
Coral Gables, FL 33134-2462
Phone (305) 342-4051

Other providers in Coconut Grove, FL

All providers in Coconut Grove, FL · Speech-Language Pathologist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.