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Organization
14 FIFTY CORP
Active
Organization
14 FIFTY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA TIBALDEO (PRESIDENT)
(407) 906-0140
Entity
Organization
Contact information
Practice address
1073 WILLA SPRINGS DR STE 2045, WINTER SPRINGS, FL 32708-6625
(407) 906-0140
(800) 826-9197
Mailing address
1450 CHIPPEWA LN, GENEVA, FL 32732-9183
(407) 906-0140
(800) 826-9197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/19/2025
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