Individual
MR. EDGARD ANTONIO ROBELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
3564 AVALON PARK BLVD E, SUITE 2, #249, ORLANDO, FL 32828-7365
(407) 737-2023
Mailing address
4456 INLAND LN, ORLANDO, FL 32817-1230
(305) 775-9763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12092237
ASHA
FL
01
—
908316
DEPT. OF ED. CERTIFICATE
FL
01
—
SA 8753
DEPT. OF HEALTH LICENSE
FL
Enumeration date
09/17/2007
Last updated
09/19/2007
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