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Organization

IMAGINE PEDIATRIC THERAPY OF BREVARD, LLC

Active
Other names
Imagine Pediatric Therapy, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
YELBA MERCEDES DELGADO MS. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(321) 223-8791
Entity
Organization

Contact information

Practice address
600 N SONORA CIR, INDIALANTIC, FL 32903-3735
(321) 223-8791
Mailing address
600 N SONORA CIR, INDIALANTIC, FL 32903-3735
(321) 223-8791
(321) 373-8791

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104044500
FL
05
110199500
FL
Enumeration date
08/19/2019
Last updated
08/01/2025
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