| Nicole Marie Medina, | |
|
14055 Town Loop Blvd Ste 300, Orlando, FL 32837-6106 | |
| (787) 857-6285 | |
| Not Available |
| Full Name | Nicole Marie Medina |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 14055 Town Loop Blvd Ste 300, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922736099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ10803 (Florida) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Corrective Speech And Language Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356318489 PECOS PAC ID: 6204114655 Enrollment ID: O20161105000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Medina, 14202 Green Gable Ct, Orlando, FL 32824-6372 Ph: (787) 675-9992 | Nicole Marie Medina, 14055 Town Loop Blvd Ste 300, Orlando, FL 32837-6106 Ph: (787) 857-6285 |
Ms. Yentel C. Moses, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5210 Vatican Ave, Orlando, FL 32810 Phone: 954-494-5468 Fax: 954-989-7981 | |
Michelle Bartlett, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11602 Lake Underhill Rd Ste 129, Orlando, FL 32825 Phone: 239-298-6397 | |
Sonya Persaud, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-601-6888 | |
Keissy Lorini, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12377 S Orange Blossom Trl, Orlando, FL 32837 Phone: 407-857-1212 | |
Regan Brackin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1239 Mount Vernon St, Orlando, FL 32803 Phone: 407-810-2773 Fax: 407-867-6203 | |
Mrs. Rebecca L Burt, MA, CCC/SLP, NBCT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Derby Glen Dr, Orlando, FL 32837 Phone: 407-641-0808 Fax: 407-812-4358 | |
Dr. Charlotte M Harvey, EDD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12424 Research Pkwy, Suite 155, Orlando, FL 32826 Phone: 407-882-0468 Fax: 407-249-4774 |