| Doctor Name: | MRS. JACQUELINE TOBON |
| NPI Number: | 1497039515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | SA 10934 |
| Business Practice Address: | 300 Sevilla Ave #206 Coral Gables, FL - 331346636 |
| Business Phone Number: | 3057741788 |
| Business Fax Number: | |
| Mailing Address: | 8551 Sw 82 Terrace, MIAMI |
| State: | FL |
| Postal Code: | 33143 |
| Phone Number: | 3055108912 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2011 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 10934 |
| 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 |