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Ivelisse Medina, SLPA
Hearing and Speech Clinic/Center in Orlando, Florida
NPI 1013795608

Ivelisse Medina is a Hearing and Speech Clinic/Center based in Orlando, FL and is specialized in Hearing and Speech. Ivelisse Medina practices in Orlando, FL and has the professional credentials of SLPA. The NPI Number for Ivelisse Medina is 1013795608 and holds a License No. SI2200 (Florida).

The current practice location address for Ivelisse Medina is 11993 Kajetan Ln, Orlando, FL and can be reached out via phone at 407-335-8578. You can also correspond with Ivelisse Medina through the mailing address at 11993 KAJETAN LN, ORLANDO, FL - 32827-7153 (mailing address contact number: 407-335-8578).

Location: 11993 Kajetan Ln, Orlando, FL, 32827-7153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013795608
Provider Name
Ivelisse Medina
Credential
SLPA
Provider Entity Type
Individual
Gender
Female
Address
11993 Kajetan Ln, Orlando, FL, 32827-7153
Phone Number
407-335-8578
Fax Number
Provider Enumeration Date
09/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11993 Kajetan Ln
City
Orlando
State
Florida
Zip
32827-7153
Phone Number
407-335-8578
Fax Number
person
Provider Business Mailing Address Details
Address
11993 Kajetan Ln
City
Orlando
State
Florida
Zip
32827-7153
Phone Number
407-335-8578
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Hearing and Speech
Taxonomy
261QH0700X
License No.
SI2200 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
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