Provider Demographics
NPI:1053709527
Name:NAVICHOQUE, SINDY JULISSA
Entity type:Individual
Prefix:
First Name:SINDY
Middle Name:JULISSA
Last Name:NAVICHOQUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8846 NW 27TH ST
Mailing Address - Street 2:CORAL SPRINGS
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5317
Mailing Address - Country:US
Mailing Address - Phone:954-644-2900
Mailing Address - Fax:
Practice Address - Street 1:8846 NW 27TH ST
Practice Address - Street 2:CORAL SPRINGS
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5317
Practice Address - Country:US
Practice Address - Phone:954-644-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist