Jeffry Antonio Barquero Salazar
Individual provider Active NPI Speech-Language Pathologist · Fern Park, FL
NPI 1508220484 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1508220484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SI2776 (FL)
- Practice address
- 107 Eastwind LN
Fern Park, FL 32730-2911 - Phone
- (407) 233-7361
- NPI assigned
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SI2776 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Speech-Language Pathologist | 235Z00000X | SI2776 | FL | Yes |
Addresses
Primary practice location
107 Eastwind LN
Fern Park, FL 32730-2911
Mailing address
107 Eastwind LN
Fern Park, FL 32730-2911
Phone (407) 233-7361
Other practice location 1
631 E Oak Ridge Rd
Orlando, FL 32809-4266
Phone (407) 233-7361
Other providers in Fern Park, FL
- Stacie Aldrich
- Amaya Papaya L.L.C.
- Patrice Shondelle Anderson
- Justin Alexander Arroyo
- Ralph E Ballentine
- James Bartlett
- Cheryl A Bosselman
- Brent H Weinman
- Derdine Noel Brown
- Katherine Harrod Cain
All providers in Fern Park, 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 Mar 17, 2018. 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.