Mrs Jennifer Theresa Larsson, | |
13910 Fivay Rd, Suite 6, Hudson, FL 34667 | |
(727) 869-9479 | |
Not Available |
Full Name | Mrs Jennifer Theresa Larsson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 13910 Fivay Rd, Hudson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861813123 | NPI | - | NPPES |
116523800 | Medicaid | FL | |
X9DTG | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SZ6432 (Florida) | Secondary |
235Z00000X | Speech-language Pathologist | SA13294 (Florida) | Primary |
Provider Name | University Medical Service Association Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
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Mrs Jennifer Theresa Larsson, Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Mrs Jennifer Theresa Larsson, 13910 Fivay Rd, Suite 6, Hudson, FL 34667 Ph: (727) 869-9479 |
Hadil Alshair, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11820 Denton Ave, Hudson, FL 34667 Phone: 727-862-9101 | |
Mrs. Sarah Elizabeth Preston, S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14100 Fivay Rd Ste 210, Hudson, FL 34667 Phone: 727-869-9479 | |
Mary Ellen Lian, M.S., CCC - SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14100 Fivay Rd, Suite 210, Hudson, FL 34667 Phone: 727-869-9479 Fax: 727-861-7135 | |
Genesis Rehabilitation Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7927 State Road 52, Hudson, FL 34667 Phone: 727-378-8586 Fax: 727-378-8587 | |
Amber Gordon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13910 Fivay Rd, 6-7, Hudson, FL 34667 Phone: 727-869-9479 | |
Allcare Rehab Solutions Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13852 Newport Shores Dr, Hudson, FL 34669 Phone: 516-301-7887 | |
Mrs. Jill Bona Garcia, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11820 Denton Ave, Hudson, FL 34667 Phone: 727-862-9101 Fax: 888-345-5315 |