Active NPI
Cyndel Surdovel
- Speech-Language Pathologist
- Oviedo, FL
National Provider Identifier
1922348309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ6252
- Practice address
- 1809 E Broadway St # 122
Oviedo, FL 32765-8597 - Phone
- (407) 359-5693
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ6252 | FL | Primary |
Addresses
Primary practice location
1809 E Broadway St # 122
Oviedo, FL 32765-8597
Mailing address
1078 Covington St
Oviedo, FL 32765-7039
Phone (407) 227-8935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008945400 | Medicaid | FL |
Other names 1
- Cyndel Barbarossa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ6252 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1922348309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 COVINGTON ST",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657039",
"telephone_number": "407-227-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 E BROADWAY ST # 122",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658597",
"telephone_number": "407-359-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURDOVEL",
"first_name": "CYNDEL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ6252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008945400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNDEL",
"last_name": "BARBAROSSA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.