Provider Demographics
NPI:1598859068
Name:KRAN, JANE B (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:B
Last Name:KRAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3445 RAVENCREEK LN
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32766-7044
Mailing Address - Country:US
Mailing Address - Phone:850-567-3017
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA SPEECH - LANGUAGE PATHOLOGY, INC.
Practice Address - Street 2:11602 LAKE UNDERHILL RD., SUITE 129
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4460
Practice Address - Country:US
Practice Address - Phone:407-277-5400
Practice Address - Fax:321-281-4942
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889741700Medicaid