Edgard Antonio Robelo, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8753 Issued in FL

Practice address

3564 Avalon Park Blvd E
Suite 2, #249
Orlando, FL 32828-7365

Phone

(407) 737-2023

NPI assigned

Sep 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1013103761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4456 INLAND LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171230",
            "telephone_number": "305-775-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK BLVD E",
            "address_2": "SUITE 2, #249",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287365",
            "telephone_number": "407-737-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBELO",
        "first_name": "EDGARD",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF ED. CERTIFICATE",
            "identifier": "908316",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12092237",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH LICENSE",
            "identifier": "SA 8753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Morrison Robbins, DDS
• Emily Elizabeth Robbins, APRN
• Marla A Robbins, M D
• William J. Robbins, M.D.
• Debra A Robeck
• Caris Roberson
• Robert a Krauklis DPM LLC
• Robert B. Curtis, O.D., P.a.
• Robert J Estrada DPM PA
• Robert K Law DO PA

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.