Individual
ILANA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 W COLONIAL DR STE 206, OCOEE, FL 34761-6808
(321) 638-6004
Mailing address
1675 SMOKETREE CIR, APOPKA, FL 32712-8178
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3619
FL
235Z00000X
Speech-Language Pathologist
Primary
SA23897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI3619
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/14/2021
Last updated
07/01/2026
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