Provita Speech Language and Audiology Associates Corp

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PROVITA SPEECH LANGUAGE AND AUDIOLOGY ASSOCIATES CORP

Practice address

10760 Crescendo Cir
Boca Raton, FL 33498-4871

Phone

(954) 666-2942

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Silvia Sachetto Falcao

Title

Owner

Phone

(954) 666-2942

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1871182527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 CRESCENDO CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984871",
            "telephone_number": "954-666-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 CRESCENDO CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984871",
            "telephone_number": "954-666-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVITA SPEECH LANGUAGE AND AUDIOLOGY ASSOCIATES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "FALCAO",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "SACHETTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-666-2942",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.