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Organization
APEX SPEECH THERAPY, INC.
Active
Organization
APEX SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KANSO (SPEECH-LANGUAGE PATHOLOGIST)
(850) 624-1721
Entity
Organization
Contact information
Practice address
2685 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 624-1721
Mailing address
PO BOX 15745, PANAMA CITY, FL 32406-5745
(850) 624-1721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 4159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0964
BCBS
FL
Enumeration date
04/07/2007
Last updated
08/22/2020
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