Individual ProviderBracha RothSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address20505 E Country Club Dr Apt 934, Aventura, FL 33180-3038(718) 986-5283PECOS EnrollmentBased on the most recent information from CMS, provider Bracha Roth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1245985282Provider TypeIndividualFull NameRoth, BrachaGenderFemaleSole ProprietorYesEnumeration Date2/17/2022Last Updated2/17/2022Contact InformationPractice LocationPractice Address20505 E Country Club Dr Apt 934, Aventura, FL 33180-3038Phone(718) 986-5283FaxUnlisted FaxMailing LocationMailing Address20505 E Country Club Dr Apt 934, Aventura, FL 33180-3038Phone(718) 986-5283FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSZ10373Florida