Florida Speech & Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6942 Issued in FL

Legal business name

FLORIDA SPEECH & LANGUAGE LLC

Practice address

4108 Lake Underhill Rd
Suite 304
Orlando, FL 32803-7080

Phone

(407) 625-9031

Fax

(407) 896-0214

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mallori Jo Rossing, M.A. CCC-SLPNPI 1881788313

Title

Speech Language Pathologist

Phone

(407) 625-9031

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallori Jo Rossing, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Clermont, FL
  • NPI 1881788313
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396969705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 LAKE UNDERHILL RD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037080",
            "telephone_number": "407-625-9031",
            "fax_number": "407-896-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 LAKE UNDERHILL RD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037080",
            "telephone_number": "407-625-9031",
            "fax_number": "407-896-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPEECH & LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSING",
        "authorized_official_first_name": "MALLORI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-625-9031",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.