Individual
ISA BETANCOURT REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 CHAMPIONS VUE LOOP UNIT 412, DAVENPORT, FL 33897-4857
(787) 527-4515
Mailing address
190 CHAMPIONS VUE LOOP UNIT 412, DAVENPORT, FL 33897-4857
(787) 527-4515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA23756
FL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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