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Individual

ELIANA MARIA CROUZEILLES SOBRAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH

Contact information

Practice address
13712 AMELIA POND DR, WINDERMERE, FL 34786-3114
(407) 877-5631
(407) 877-5635
Mailing address
13712 AMELIA POND DR, WINDERMERE, FL 34786-3114
(407) 877-5631
(407) 877-5635

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5558
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
679537496
FL
05
885537400
FL
Enumeration date
05/01/2006
Last updated
04/10/2015
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