DINA DECOSTA BANK

SUNRISE, FL
NPI1649326919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA 5317)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
-- DINA DECOSTA BANK MS, CCC-SLP
12701 W SUNRISE BLVD
SUNRISE, FL 33323-0907
Phone number: 954-792-8772
Mailing Address
-- DINA DECOSTA BANK MS, CCC-SLP
1301 BANYAN WAY
WESTON, FL 33327-1623
Phone number: 954-659-9331
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