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Individual

IVONNE M. MAHAVIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3333
(407) 852-3301
Mailing address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3333
(407) 852-3301

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8901
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890811700
FL
Enumeration date
12/01/2006
Last updated
01/13/2011
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