Active NPI
Speech Rehabilitation Services
- Developmental Disabilities Clinic/Center
- Plant City, FL
National Provider Identifier
1669833182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- SA7606
- Legal business name
- SPEECH REHABILITATION SERVICES
- Practice address
- 1528 Avondale Ridge Dr
Plant City, FL 33567-3682 - Phone
- (813) 431-7064
- Fax
- (813) 704-5341
- NPI assigned
- Mar 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tandria Milagno Callins, PH.D., CCC-SLP
- Title
- Owner
- Phone
- (813) 431-7064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | SA7606 | FL | Primary |
Addresses
Primary practice location
1528 Avondale Ridge Dr
Plant City, FL 33567-3682
Mailing address
1528 Avondale Ridge Dr
Plant City, FL 33567-3682
Phone (813) 431-7064
Other names 1
- All Lives Matter Specialty Care
National Provider Directory
National Provider Directory- Tax ID family
- All Lives Matter Specialty Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Plant City, FL
- NPI 1952852659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457568000000",
"number": "1669833182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 AVONDALE RIDGE DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335673682",
"telephone_number": "813-431-7064",
"fax_number": "813-704-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 AVONDALE RIDGE DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335673682",
"telephone_number": "813-431-7064",
"fax_number": "813-704-5341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A",
"authorized_official_last_name": "CALLINS",
"authorized_official_first_name": "TANDRIA",
"authorized_official_middle_name": "MILAGNO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-431-7064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., CCC-SLP"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": "SA7606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "All Lives Matter Specialty Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plant City, FL
- South Florida Baptist Hospital, Inc.
- John B Souther, D.C.
- Southern Home Care Services, Inc.
- Specialist Doctors Group LLC
- Specialist Doctors Group, LLC
- Speech Rehabilitation Services-Dementia & Dysphagia Specialists
- Pascal Edward Spehar, M.D.
- Spirit Soul & Body Home Care LLC
- Sports and Orthopedic Rehabilitation Services Inc
- SS Hillsborough II Community HC LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.