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Individual

EMMANUEL PEGUERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 892-7344
Mailing address
2815 FLAMBOYAN ST, KISSIMMEE, FL 34744-3824
(407) 793-9217

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15623
FL
235Z00000X
Speech-Language Pathologist
SZ7591
FL

Other

Enumeration date
06/23/2016
Last updated
02/25/2020
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