Julia Affronti, MS, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · St Augustine, FL
NPI 1013757475 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1013757475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ11916 (FL)
- Practice address
- 111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065 - Phone
- (904) 328-7489
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ11916 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lively Speech and Language Therapy, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
111 Nature Walk Pkwy
Unit 108
St Augustine, FL 32092
Phone (904) 328-7489
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ11916 | FL | Yes |
Addresses
Primary practice location
111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065
Mailing address
14175 Pier LN
Jacksonville, FL 32224-7002
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- Amit Kumar Agarwal
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All providers in St Augustine, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.