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Jackqueline Blezio

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

20700 W Dixie Hwy, Aventura, FL 33180-1146

PECOS Enrollment

Based on the most recent information from CMS, provider Jackqueline Blezio does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1588799589
Provider Type
Individual
Full Name
Blezio, Jackqueline
Title
Mrs.
Credential
M.S., C.C.C.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/22/2007
Last Updated
7/8/2007

Contact Information

Practice Location

20700 W Dixie Hwy, Aventura, FL 33180-1146

(305) 933-5887

Unlisted Fax

Mailing Location

11428 SW 74th St, Miami, FL 33173-2683

(305) 630-3795

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SA7994 Florida

Provider Identifiers

ID	Description	Issuer
ID SA7994	Description Other	Issuer LICENSE Florida

Jackqueline Blezio

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

De Donatis, Mariana

Neuman, Ashley Lauren

Speech & Resource Group, Inc

Bailey, Danielle

Sanders, Eric Joseph

Glanzberg, Celine Nelly

Mai Speech Therapy Llc

Engel, Tova

Saffati, Sharit

Desisto, Jessica