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Organization
IMAGINE PEDIATRIC THERAPY OF BREVARD, LLC
Active
Organization
IMAGINE PEDIATRIC THERAPY OF BREVARD, LLC
Active
Other names
Imagine Pediatric Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YELBA MERCEDES DELGADO MS. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(321) 223-8791
Entity
Organization
Contact information
Practice address
600 N SONORA CIR, INDIALANTIC, FL 32903-3735
(321) 223-8791
Mailing address
600 N SONORA CIR, INDIALANTIC, FL 32903-3735
(321) 223-8791
(321) 373-8791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104044500
—
FL
05
—
110199500
—
FL
Enumeration date
08/19/2019
Last updated
08/01/2025
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