Florida Family Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FLORIDA FAMILY SPEECH THERAPY LLC

Practice address

6927 Sylvan Woods Dr
Sanford, FL 32771-6435

Phone

(407) 358-0851

Fax

(407) 358-0923

NPI assigned

May 1, 2022

Last updated

May 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Moore, M.A. CCC-SLPNPI 1801223292

Title

Owner/Speech-Language Pathologist

Phone

(407) 358-0851

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Nicole Moore, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Sanford, FL
  • NPI 1801223292
  Authorized official Same address or phone

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651363200000",
    "number": "1932844305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 SYLVAN WOODS DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716435",
            "telephone_number": "407-358-0851",
            "fax_number": "407-358-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 SYLVAN WOODS DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716435",
            "telephone_number": "407-358-0851",
            "fax_number": "407-358-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-358-0851",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.moore@floridafamilyspeech.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6927 Sylvan Woods Dr",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327716435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Sanford, FL
• Providers in Sanford, 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 May 1, 2022; 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.