Individual
ANA RAQUEL CAMPANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MONTICELLO PL APT 103, ORLANDO, FL 32835-2903
(631) 317-3077
Mailing address
2800 MONTICELLO PL APT 103, ORLANDO, FL 32835-2903
(631) 317-3077
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
5967
FL
2355S0801X
Speech-Language Assistant
Primary
5967
FL
2355S0801X
Speech-Language Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9523002708
—
FL
Enumeration date
02/06/2023
Last updated
02/06/2023
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