| Organization Name: | NU LIFESTYLE LLC |
| NPI Number: | 1093092348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTONIA SHRAYEV (SPEECH PATHOLOGIST) |
| Mailing Address: | 489 Hialeah Dr Ste 10 Hialeah |
| State: | FL US |
| Postal Code: | 330105320 |
| Phone Number: | 2403887387 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2011 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 9274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |