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Organization
TALK ACTIVE CORPORATION
Active
Organization
TALK ACTIVE CORPORATION
Active
Other names
Talk Active therapy clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN BETOVEN MONTEIRO (OWNER)
(321) 400-7527
Entity
Organization
Contact information
Practice address
314 W BASS ST, KISSIMMEE, FL 34741-5001
(321) 445-1287
(407) 386-7448
Mailing address
314 W BASS ST, KISSIMMEE, FL 34741-5001
(321) 445-1287
(407) 386-7448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497111959
HUMANA
FL
Enumeration date
01/13/2016
Last updated
03/05/2025
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