| Doctor Name: | CAROLINA BANCORA |
| NPI Number: | 1891049953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SZ6076 |
| Business Practice Address: | 5979 Nw 151st St Suite 208 Miami Lakes, FL - 330142400 |
| Business Phone Number: | 3053623300 |
| Business Fax Number: | 3053620202 |
| Mailing Address: | 4730 Sw 109th Ter, DAVIE |
| State: | FL |
| Postal Code: | 333283239 |
| Phone Number: | 9546391977 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2012 |
| NPI Last Update Date: | 10/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ6076 |
| 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 |