Active NPI
Elizabeth Anguiano
- Speech-Language Pathologist
- Brandon, FL
National Provider Identifier
1104601087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ11583
- Practice address
- 702 S Kings Ave
Brandon, FL 33511-5959 - Phone
- (813) 651-1818
- NPI assigned
- Aug 29, 2023
- Last updated
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ11583 | FL | Primary |
Addresses
Primary practice location
702 S Kings Ave
Brandon, FL 33511-5959
Mailing address
12702 Bruce B Downs Blvd Apt 2511a
Tampa, FL 33612-4739
Phone (352) 497-9530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ11583 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1104601087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12702 BRUCE B DOWNS BLVD APT 2511A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124739",
"telephone_number": "352-497-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 S KINGS AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115959",
"telephone_number": "813-651-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUIANO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ11583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.