Individual ProviderHadasa FitalSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address3330 NE 190th St Apt 916, Aventura, FL 33180-2759(305) 336-0911PECOS EnrollmentBased on the most recent information from CMS, provider Hadasa Fital 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 ID1699051474Provider TypeIndividualFull NameFital, HadasaGenderFemaleSole ProprietorYesEnumeration Date10/25/2011Last Updated10/25/2011Contact InformationPractice LocationPractice Address3330 NE 190th St Apt 916, Aventura, FL 33180-2759Phone(305) 336-0911FaxUnlisted FaxMailing LocationMailing Address3330 NE 190th St Apt 916, Aventura, FL 33180-2759Phone(305) 336-0911FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSZ5632FloridaProvider IdentifiersIDDescriptionIssuerIDSZ5632DescriptionOtherIssuerFLORIDA DEPARTMENT OF HEALTHFlorida