Marina Tawadrous Mina, CCC-SLP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Practice address

800 Westwood SQ Ste D
Oviedo, FL 32765-8849

Phone

(407) 790-5601

NPI assigned

Jun 27, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premaplay LLC

  • Occupational Therapist
  • Oviedo, FL
  • NPI 1972922821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1285016121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S ORLANDO AVE STE 320",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515654",
            "telephone_number": "407-790-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTWOOD SQ STE D",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658849",
            "telephone_number": "407-790-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "MARINA",
        "middle_name": "TAWADROUS",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "14146770",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Miller, M.D.
• Jessica Miller
• Maria L Miller, MD
• Ryan Emmerson Miller, P.T.
• Tonda Marie Miller, L.M.T.
• Mind&Mood Restoration Clinic LLC
• Sarah Brooks Minor, PHARMD
• Mint32 Dental PLLC
• Mint32 Dental PLLC
• Makayla Miskiewicz

• Clinic/Center in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.