Most Relevant Information
Provider Data
| NPI Number: | 1003222126 |
| Provider Name: | DONYA BRADDOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA16085 |
Most Important Dates
| Enumeration Date: | 07/09/2014 |
| Last Updated: | 08/30/2023 |
Provider Practice Location
17034 SW 34TH ST
MIRAMAR
FL
330274539
Practice Location Phone/Fax
| Phone: | 3059624682 |
| Fax: |
Provider Mailing Location
9661 SW 11TH ST
PEMBROKE PINES
FL
330253652
Provider Mailing Phone/Fax
| Phone: | 9545362215 |
| Fax: |