Organization
BEACHES SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DESMOND (OWNER)
(904) 616-3455
Entity
Organization
Contact information
Practice address
128 WOODLANDS CREEK DR, PONTE VEDRA BEACH, FL 32082-3217
(904) 616-3455
Mailing address
128 WOODLANDS CREEK DR, PONTE VEDRA BEACH, FL 32082-3217
(904) 616-3455
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020662900
—
FL
Enumeration date
03/09/2022
Last updated
03/09/2022
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