| Speech Aesthetics Therapy | |
|
907 Sydney Street Davenport FL 33837 | |
| (407) 494-5170 | |
| Not Available |
| Full Name | Speech Aesthetics Therapy |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 907 Sydney Street, Davenport, Florida |
| Authorized Official Name and Position | Erika Vargas (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 4074945170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Aesthetics Therapy 907 Sydney St Davenport FL 33837-2713 Ph: (407) 494-5170 | Speech Aesthetics Therapy 907 Sydney Street Davenport FL 33837 Ph: (407) 494-5170 |
| NPI Number | 1649035254 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/17/2024 |
| Certification Date | 02/17/2024 |
| Medicare PECOS PAC ID | 7719326123 |
|---|---|
| Medicare Enrollment ID | O20240418001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649035254 | NPI | - | NPPES |
| Provider Name | Erika Vargas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104392760 PECOS PAC ID: 9537531959 Enrollment ID: I20230214000325 |
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