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Organization

COASTAL PLAY & PROGRESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLE BURNS CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(941) 237-0017
Entity
Organization

Contact information

Practice address
2032 EL JOBEAN RD UNIT 4, PORT CHARLOTTE, FL 33948-1247
(941) 237-0017
Mailing address
11291 PINOT DR, VENICE, FL 34293-1799
(941) 237-0017

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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