Individual
ILANA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5728 MAJOR BLVD STE 600, ORLANDO, FL 32819-7970
(407) 280-3776
(407) 454-9007
Mailing address
1675 SMOKETREE CIR, APOPKA, FL 32712-8178
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI3619
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/14/2021
Last updated
07/14/2021
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