14 Fifty Corp

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

14 FIFTY CORP

Practice address

1073 Willa Springs Dr Ste 2045
Winter Springs, FL 32708-6625

Phone

(407) 906-0140

Fax

(800) 826-9197

NPI assigned

Jul 18, 2025

Last updated

Jul 19, 2025By 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

Sandra TibaldeoNPI 1134178924

Title

President

Phone

(407) 906-0140

Specialties & licenses 1

Addresses

Locations

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.

• Sandra Tibaldeo, MS CCC-SLP

  • Speech-Language Pathologist
  • Palmetto Bay, FL
  • NPI 1134178924
  NPD Authorized official

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752883200000",
    "number": "1982596383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHIPPEWA LN",
            "city": "GENEVA",
            "state": "FL",
            "postal_code": "327329183",
            "telephone_number": "407-906-0140",
            "fax_number": "800-826-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 WILLA SPRINGS DR STE 2045",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086625",
            "telephone_number": "407-906-0140",
            "fax_number": "800-826-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "14 FIFTY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "TIBALDEO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-906-0140"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Damaris Marie Acosta, M.A.

• Speech-Language Pathologist in Winter Springs, FL
• Providers in Winter 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 Jul 19, 2025; 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.