Organization Active NPI

Florida Speech-Language Pathology, Inc.

  • Early Intervention Provider Agency
  • Orlando, FL
National Provider Identifier
1578135232
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FLORIDA SPEECH-LANGUAGE PATHOLOGY, INC.
Practice address
11602 Lake Underhill Rd Ste 129
Orlando, FL 32825-4460
Phone
(407) 340-4167
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Melissa DoanNPI 1730137241
Title
Owner/SLP
Phone
(407) 340-4167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

11602 Lake Underhill Rd Ste 129
Orlando, FL 32825-4460

Mailing address

4120 Gabriella LN
Winter Park, FL 32792-6318
Phone (407) 340-4167

National Provider Directory

National Provider Directory
Tax ID family
Florida Speech Language Pathology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1578135232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 GABRIELLA LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926318",
            "telephone_number": "407-340-4167",
            "fax_number": "407-327-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-340-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPEECH-LANGUAGE PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "407-340-4167"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.