Individual
ADAM RERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5336 ROCKING HORSE PL, OVIEDO, FL 32765-6128
(609) 610-6712
Mailing address
5336 ROCKING HORSE PL, OVIEDO, FL 32765-6128
(609) 610-6712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014075300
—
FL
Enumeration date
12/29/2014
Last updated
05/04/2023
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