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Individual

ALEXANDRA TARANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A, CCC-SLP

Contact information

Practice address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 205-7377
Mailing address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 280-3776
(407) 454-9007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14428
FL
235Z00000X
Speech-Language Pathologist
SZ6979
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA14428
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/02/2016
Last updated
01/30/2019
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