NPI 1104354224 · live from the CMS NPI Registry
Acorn And Oak INC
Clinic/Center in Coconut Creek, FL. National Provider Identifier 1104354224, active.
NPI record
| NPI | 1104354224 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 5485 Wiles Rd Ste 402, Coconut Creek, FL 33073 |
| Practice phone | 954-621-3669 |
| Enumerated | June 2, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Melody Erez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SA15420 (FL) |
| Clinic/Center primary | 261Q00000X | SA15420 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.