Gary Adams, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Oviedo, FL
NPI 1174901938 · NPPES record last updated Dec 15, 2015
Key facts
- NPI
- 1174901938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA13683 (FL)
- Practice address
- 4250 Alafaya TRL
Suite 212-258
Oviedo, FL 32765-9412 - Phone
- (612) 405-4279
- Fax
- (678) 536-1141
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13683 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA13683 | FL | Yes |
Addresses
Primary practice location
4250 Alafaya TRL
Suite 212-258
Oviedo, FL 32765-9412
Mailing address
4509 Riverton Dr
Orlando, FL 32817-1451
Phone (630) 386-3006
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All providers in Oviedo, 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 Dec 15, 2015. 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.