Organization
ORLANDO SPEECH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVANNA ORTIZ MS/CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/MANAGER)
(407) 883-3295
Entity
Organization
Contact information
Practice address
646 W SMITH ST UNIT 558, ORLANDO, FL 32804-5384
(407) 883-3295
Mailing address
646 W SMITH ST UNIT 558, ORLANDO, FL 32804-5384
(407) 883-3295
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518352475
—
FL
Enumeration date
05/01/2023
Last updated
05/01/2023
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