Organization Active NPI

Miami Fluency Clinic, Inc.

Doing business as Broward Fluency Clinic

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1538294111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 2325 Issued in FL
Legal business name
MIAMI FLUENCY CLINIC, INC.
Doing business as
Broward Fluency Clinic
Practice address
12515 Orange Dr
Suite 809
Davie, FL 33330-4309
Phone
(954) 424-0380
Fax
(954) 424-9971
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marianne Splitter, S.L.P.
Title
Owner
Phone
(954) 424-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 2325 FL Primary

Addresses

Primary practice location

12515 Orange Dr
Suite 809
Davie, FL 33330-4309

Mailing address

12515 Orange Dr
Suite 809
Davie, FL 33330-4309
Phone (954) 424-0380

Other identifiers 2

IdentifierTypeStateIssuer
2797736000OtherPAINDEPENDENCE BLUE CROSS
S0963OtherFLBCBSF PROVIDER NUMBER

Other names 1

  • Broward Fluency Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

12515 Orange Dr
Ste 809
Davie, FL 33330
Phone (954) 424-0380

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538294111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR",
            "address_2": "SUITE 809",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "954-424-0380",
            "fax_number": "954-424-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR",
            "address_2": "SUITE 809",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "954-424-0380",
            "fax_number": "954-424-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI FLUENCY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPLITTER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-424-0380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "S.L.P."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 2325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2797736000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF PROVIDER NUMBER",
            "identifier": "S0963",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Fluency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.