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Organization
SPEECH INNOVATIONS OF CENTRAL FLORIDA LLC
Active
Organization
SPEECH INNOVATIONS OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KATHERINE AUTENRIETH MA, CCC-SLP (OWNER)
(407) 694-3603
Entity
Organization
Contact information
Practice address
253 PLAZA DR STE C, OVIEDO, FL 32765
(407) 694-3603
(321) 296-7130
Mailing address
2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-3185
(407) 694-3603
(321) 296-7130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004185100
—
FL
05
—
009856500
—
FL
Enumeration date
11/04/2013
Last updated
01/24/2024
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