Provider Demographics
NPI:1336296953
Name:FLORIDA SPEECH, LLC
Entity Type:Organization
Organization Name:FLORIDA SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ROSINO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:407-718-2924
Mailing Address - Street 1:23 ALAFAYA WOODS BLVD
Mailing Address - Street 2:SUITE 167
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6233
Mailing Address - Country:US
Mailing Address - Phone:407-718-2924
Mailing Address - Fax:407-366-0044
Practice Address - Street 1:23 ALAFAYA WOODS BLVD
Practice Address - Street 2:SUITE 167
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6233
Practice Address - Country:US
Practice Address - Phone:407-718-2924
Practice Address - Fax:407-366-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6979235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty