| Jessica Ashley Bonvenca, | |
|
138 Villa Di Este Ter Unit 208, Lake Mary, FL 32746-1633 | |
| (732) 299-1720 | |
| Not Available |
| Full Name | Jessica Ashley Bonvenca |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 138 Villa Di Este Ter Unit 208, Lake Mary, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528735628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS00978300 (New Jersey) | Secondary |
| 235Z00000X | Speech-language Pathologist | SA18018 (Florida) | Primary |
| Provider Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ashley Bonvenca, 138 Villa Di Este Ter Unit 208, Lake Mary, FL 32746-1633 Ph: (732) 299-1720 | Jessica Ashley Bonvenca, 138 Villa Di Este Ter Unit 208, Lake Mary, FL 32746-1633 Ph: (732) 299-1720 |
Heather Ortiz, MS CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 323 Pine Shadow Ln, Lake Mary, FL 32746 Phone: 407-461-2733 | |
Courtney Mullins Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 849 Arbormoor Pl, Lake Mary, FL 32746 Phone: 407-328-0182 | |
Laura Lee Moran, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 648 Bluebird Ct, Lake Mary, FL 32746 Phone: 321-363-6675 | |
T Spence, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 International Pkwy Ste 300, Lake Mary, FL 32746 Phone: 800-806-6026 | |
Angela Christine Sullivan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 Channel Dr, Lake Mary, FL 32746 Phone: 503-358-8182 | |
Bethany Christine Ferrari, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 756 N Sun Dr, Lake Mary, FL 32746 Phone: 407-852-3300 | |
Emily Lauren Waddington, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3005 Falling Acorn Cir, Lake Mary, FL 32746 Phone: 302-547-3612 |