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850 Indigo St, Fernandina Beach, FL 32034-3763 | |
(904) 704-5565 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 850 Indigo St, Fernandina Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457189698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Stephanie Desilet |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861861460 PECOS PAC ID: 0648705475 Enrollment ID: I20241203000861 |
Provider Name | Andrea Anderson Kosciulek |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1144450198 PECOS PAC ID: 1557896388 Enrollment ID: I20241203000982 |
Provider Name | Laura Frances Momnie |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1669817268 PECOS PAC ID: 9739614561 Enrollment ID: I20241203001252 |
Mailing Address | Practice Location Address |
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200 River Oaks Dr, Fernandina Beach, FL 32034-9278 Ph: (904) 704-5565 | 850 Indigo St, Fernandina Beach, FL 32034-3763 Ph: (904) 704-5565 |
Ms. Marissa Claire Artman, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 Starboard Lndg, Fernandina Beach, FL 32034 Phone: 317-225-8349 | |
Sinead Spratto, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 96061 Jamaican Court, Fernandina Beach, FL 32034 Phone: 904-844-6832 | |
Sinead Spratto Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 96061 Jamaican Court, Fernandina Beach, FL 32034 Phone: 904-844-6832 | |
Julie Lopresti, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2118 Thrasher Ln, Fernandina Beach, FL 32034 Phone: 904-252-7421 | |
Mrs. Andrea Anderson Kosciulek, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 861439 N Hampton Club Way, Fernandina Beach, FL 32034 Phone: 904-548-0641 | |
Mrs. Vanessa Balthrop Tucker, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 95326 Springhill Rd, Fernandina Beach, FL 32034 Phone: 904-206-4487 | |
Speech Pathology Associates, P.a. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1463 Nectarine St, Fernandina Beach, FL 32034 Phone: 904-635-3179 Fax: 904-246-7259 |