Organization
SPEECH INNOVATIONS OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KATHERINE AUTENRIETH (PRESIDENT)
(407) 694-3603
Entity
Organization
Contact information
Practice address
253 PLAZA DR STE C, OVIEDO, FL 32765-6460
(407) 694-3603
(321) 296-7130
Mailing address
253 PLAZA DR STE C, OVIEDO, FL 32765-6460
(407) 694-3603
(321) 296-7130
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103458000
—
FL
Enumeration date
09/09/2019
Last updated
09/09/2019
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