Adira Bagoon, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Margate, FL
NPI 1801060348 · NPPES record last updated Apr 16, 2008
Key facts
- NPI
- 1801060348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA7733 (FL)
- Practice address
- 7587 NW 25TH St
Margate, FL 33063-8136 - Phone
- (954) 263-5397
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SA7733 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7733 | FL | Yes |
Addresses
Primary practice location
7587 NW 25TH St
Margate, FL 33063-8136
Mailing address
7587 NW 25TH St
Margate, FL 33063-8136
Phone (954) 263-5397
Other providers in Margate, FL
- Karen E. Aviles
- Ayd Assist LLC
- B.Sheth DDS PA
- Diane R Bachour
- Back in Motion Rehabilitation Inc.
- Kelsey Raquael Bailey
- Alyssa Marie Ball
- Jeffrey U Banga
- Barbara E. Smith, M.D.,P.a.
- Luis M Barcena Blanch
All providers in Margate, 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 16, 2008. 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.