One Giant Leap. LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SA 12702 Issued in FL

Legal business name

ONE GIANT LEAP. LLC

Practice address

679 Plantation Key Cir
Apt 201
Ocoee, FL 34761-4667

Phone

(321) 287-3467

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Donna Harris, M.S. CCC/SLP

Title

Owner SLP

Phone

(321) 287-3467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1497154454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 PLANTATION KEY CIR",
            "address_2": "APT 201",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614667",
            "telephone_number": "321-287-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 PLANTATION KEY CIR",
            "address_2": "APT 201",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614667",
            "telephone_number": "321-287-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE GIANT LEAP. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER SLP",
        "authorized_official_telephone_number": "321-287-3467",
        "authorized_official_credential": "M.S. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA 12702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.