Active NPI
GDG Bilingual Therapy Group, LLC
- Speech-Language Pathologist
- Davenport, FL
National Provider Identifier
1881913739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6430
- Legal business name
- GDG BILINGUAL THERAPY GROUP, LLC
- Practice address
- 604 Montana Ave
Davenport, FL 33897-5641 - Phone
- (407) 922-6656
- Fax
- (863) 438-5271
- NPI assigned
- May 18, 2010
- 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
- Mr. Gerson Guzman
- Title
- Owner
- Phone
- (407) 922-6656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6430 | FL | Primary |
Addresses
Primary practice location
604 Montana Ave
Davenport, FL 33897-5641
Mailing address
604 Montana Ave
Davenport, FL 33897-5641
Phone (407) 922-6656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Davenport, FL
- NPI 1649347949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1881913739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 MONTANA AVE",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338975641",
"telephone_number": "407-922-6656",
"fax_number": "863-438-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MONTANA AVE",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338975641",
"telephone_number": "407-922-6656",
"fax_number": "863-438-5271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GDG BILINGUAL THERAPY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-18",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "GERSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-922-6656",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.