Active NPI
Mark J Witkind, SLPD
- Speech-Language Pathologist
- Coral Gables, FL
National Provider Identifier
1497834592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 1500
- Practice address
- 425 Hardee Rd
Coral Gables, FL 33146-3510 - Phone
- (305) 772-4054
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 1500 | FL | Primary |
Addresses
Primary practice location
425 Hardee Rd
Coral Gables, FL 33146-3510
Mailing address
425 Hardee Rd
Coral Gables, FL 33146-3510
Phone (305) 772-4054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 1500 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1497834592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 HARDEE RD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463510",
"telephone_number": "305-772-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HARDEE RD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463510",
"telephone_number": "305-772-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKIND",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "SLPD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.