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DECIR PEDIATRIC SPECIALTY NPI 1770015455


NPI Information

NPI: 1770015455
Provider Name: DECIR PEDIATRIC SPECIALTY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1820 NESTLEWOOD TRL
ORLANDO, FL
ZIP 32837
Phone: (954) 529-7194
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DECIR PEDIATRIC SPECIALTY is a speech language pathologist in Orlando, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. DECIR PEDIATRIC SPECIALTY NPI is 1770015455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1820 NESTLEWOOD TRL
ORLANDO, FL
ZIP 32837-011
Phone: (954) 529-7194

The provider's authorized official is Consuelo Monica De Avila .
The authorized official title is Speech-language Pathologist and has the following contact phone number (954) 529-7194.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 3/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist13501FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016613600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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