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Contact Information

KREDO HEALTH LLC
1939 MAGUIRE RD STE 107-108
WINDERMERE, FL34786-7942
 Phone: 407-473-8005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KREDO HEALTH LLC · (Female)

NPI # 1427796630
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2022
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 114416000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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