Organization
SPEECH AND OCCUPATIONAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OLESEN (PRACTICE OWNER)
(407) 399-6556
Entity
Organization
Contact information
Practice address
705 SEBASTIAN BLVD STE A, SEBASTIAN, FL 32958-4397
(407) 399-6556
Mailing address
1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL 34787-4380
(407) 399-6556
(407) 654-5829
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103281300
—
FL
Enumeration date
07/07/2021
Last updated
07/07/2021
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