| Fullsail Therapy Service, Llc | |
|
2760 Dora Ave, Tavares, FL 32778-4970 | |
| (352) 455-3079 | |
| (352) 508-5113 |
| Full Name | Fullsail Therapy Service, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2760 Dora Ave, Tavares, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487352662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fullsail Therapy Service, Llc 19126 Park Place Blvd, Eustis, FL 32736-7261 Ph: (352) 455-3079 | Fullsail Therapy Service, Llc 2760 Dora Ave, Tavares, FL 32778-4970 Ph: (352) 455-3079 |
Melissa Caldwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2050 Classique Ln, Tavares, FL 32778 Phone: 352-978-2882 Fax: 352-354-9863 | |
Ms. Marcia Shapiro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Michaela Puglisi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1599 Tropical Ct, Tavares, FL 32778 Phone: 407-654-5455 | |
Heather Clendinen, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1729 David Walker Rd, Tavares, FL 32778 Phone: 352-253-9100 Fax: 352-253-0126 | |
Savannah Amber Kelly Beach, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2760 Dora Ave, Tavares, FL 32778 Phone: 352-742-7837 | |
Sunshine Therapy Group, Pa Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2050 Classique Lane, Tavares, FL 32778 Phone: 352-978-2882 Fax: 352-354-9863 | |
Edwin Arnoldo Gamboa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2760 Dora Ave, Tavares, FL 32778 Phone: 352-742-7837 Fax: 352-508-5113 |