Individual
MS. EILEEN ALEXANDRA BETANCOURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W AMELIA ST, ORLANDO, FL 32801-1129
(407) 317-3200
(407) 317-3200
Mailing address
306 TURNSTONE WAY, ORLANDO, FL 32828-8475
(407) 928-1460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15427
FL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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