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Organization
SURF SIDE SPEECH SPECIALISTS, LLC
Active
Organization
SURF SIDE SPEECH SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HAMILTON MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(321) 698-2886
Entity
Organization
Contact information
Practice address
484 RED SAIL WAY, SATELLITE BEACH, FL 32937-3733
(321) 698-2886
Mailing address
484 RED SAIL WAY, SATELLITE BEACH, FL 32937-3733
(321) 698-2886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 14321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790120582
NPI
FL
Enumeration date
07/22/2016
Last updated
07/19/2019
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