Johan Orlando Fundora Caraballo, MS SLP
NPI #1649058843 in Hialeah Gardens, Florida
Provider Information
- NPI Number
- 1649058843
- Entity Type
- Individual
- Name
- Johan Orlando Fundora Caraballo, MS SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS SLP
- Enumeration Date
- Sep 19, 2023
- Last Updated
- Sep 19, 2023
Practice Location
- Address
- 8828 NW 112TH TER
- City
- Hialeah Gardens
- State
- Florida
- ZIP Code
- 33018-4534
- Phone
- (305) 680-9627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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