| Atp | |
|
14201 W Sunrise Blvd, Suite 107, Sunrise, FL 33323-3207 | |
| (954) 756-2818 | |
| (954) 514-1126 |
| Full Name | Atp |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 14201 W Sunrise Blvd, Sunrise, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114151362 | NPI | - | NPPES |
| 000828300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | SA7777 (Florida) | Primary |
| Provider Name | Aileen M Grullon Colon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447313689 PECOS PAC ID: 1557555935 Enrollment ID: I20101029000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Atp 14201 W Sunrise Blvd, Suite 107, Sunrise, FL 33323-3207 Ph: (954) 756-2818 | Atp 14201 W Sunrise Blvd, Suite 107, Sunrise, FL 33323-3207 Ph: (954) 756-2818 |
Easter Seals Of South Florida Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12701 W Sunrise Blvd, Sunrise, FL 33323 Phone: 954-792-8772 Fax: 954-791-8275 | |
Terianne Nanna, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9320 Nw 39th Ct, Sunrise, FL 33351 Phone: 954-749-3727 | |
Risa Brand, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14201 W Sunrise Blvd, Suite 204, Sunrise, FL 33323 Phone: 954-756-2818 | |
Mrs. Faiza Mumtaz Khan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14201 W Sunrise Blvd, Suite 107, Sunrise, FL 33323 Phone: 954-756-2818 | |
Monica Daniela Dousdebes Garcia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1324 Nw 126th Ave, Sunrise, FL 33323 Phone: 954-648-3231 | |
Miss Tianna J Richards, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12701 W Sunrise Blvd, Sunrise, FL 33323 Phone: 954-792-8772 Fax: 954-791-8275 | |
Allison Mason, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1174 Sw 149th Ter, Sunrise, FL 33326 Phone: 954-243-8113 |