Provider Demographics
NPI:1790193266
Name:ACE COMMUNICATION, L.L.C
Entity Type:Organization
Organization Name:ACE COMMUNICATION, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:561-704-7172
Mailing Address - Street 1:7060 OLD ORCHARD WAY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-9432
Mailing Address - Country:US
Mailing Address - Phone:561-704-7172
Mailing Address - Fax:561-401-5582
Practice Address - Street 1:7060 OLD ORCHARD WAY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-9432
Practice Address - Country:US
Practice Address - Phone:561-704-7172
Practice Address - Fax:561-401-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010409800Medicaid