Astor Trust Llc

NPI 1184855249 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1184855249
Enumeration Date 08/06/2009
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROY ROY
Position CLINICAL DIRECTOR
Phone (954) 965-6924
Fax (954) 454-5992
Practice Location
1150 E HALLANDALE BEACH BLVD
SUITE D
HALLANDALE BEACH FL, 33009-4489, US
Phone (954) 965-6924
Fax (954) 454-5992
Business Location
1150 E HALLANDALE BEACH BLVD
SUITE D
HALLANDALE BEACH FL, 33009-4489, US
Phone (954) 965-6924
Fax (954) 454-5992
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA6398
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According to our database, Astor Trust Llc NPI is 1184855249, taxonomy code is 235Z00000X and license number is SA6398, license state is located at Florida. Astor Trust Llc physically located at 1150 E Hallandale Beach Blvd, Hallandale Beach FL, 33009-4489. NPI Number 1033115704 has the healthcare provider type.

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1184855249 NPI number is provided on an as is basis without warranty of any kind. 1184855249 is maintained by the National Plan & Provider Enumeration System. The contents of Astor Trust Llc are for informational purposes only.