Eastside Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EASTSIDE SPEECH LLC

Practice address

10168 W Sample Rd
Coral Springs, FL 33065-3938

Phone

(954) 344-9004

Fax

(866) 210-0998

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Karen Jordan, SLP

Title

Vice President

Phone

(954) 599-4185

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1588809123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10168 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653938",
            "telephone_number": "954-344-9004",
            "fax_number": "866-210-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10168 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653938",
            "telephone_number": "954-344-9004",
            "fax_number": "866-210-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-599-4185",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E and a Medical on the Go Healthcare of South Florida LLC
• E.C. Dentistry
• Eagle Eyecare, Inc
• Eagles Companion Care
• Brian Earle, RPSGT
• Nadine C. Ebanks, ARNP
• Kristen Johanna Ebersberger, PTA
• Marissa Ebrahim
• Alejandra Echeverri
• Melanie Echeverry

• Speech-Language Pathologist in Coral Springs, FL
• Providers in Coral Springs, 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 Jan 13, 2009; 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.