Samantha Delgado

Individual provider Active NPI Speech-Language Assistant · Pinecrest, FL

NPI 1891499307 · NPPES record last updated Mar 28, 2023

Key facts

NPI
1891499307
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SI5723 (FL)
Practice address
8257 SW 124TH St
Pinecrest, FL 33156-5900
Phone
(305) 456-5542
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SI5723FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kreative Kids Therapy Center Co Past
since Apr 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI5723 FL Yes

Addresses

Primary practice location

8257 SW 124TH St
Pinecrest, FL 33156-5900

Mailing address

14234 SW 293Rd Ter
Homestead, FL 33033-2909
Phone (786) 355-8765

Other practice location 1

8491 NW 17th St
Doral, FL 33126-1025
Phone (305) 456-5542

Other providers in Pinecrest, FL

All providers in Pinecrest, FL · Speech-Language Assistant in Florida

Sources for this page

Verify at the official NPI Registry.