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Contact Information

ADVANCE SPEECH THERAPY SERVICES, INC.
1483 SW BOUGAINVILLEA AVE
PORT SAINT LUCIE, FL34953-7302
 Phone: 772-336-6928
 Fax: 772-336-6929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADVANCE SPEECH THERAPY SERVICES, INC.

NPI # 1972721439
LBN Legal business name ADVANCE SPEECH THERAPY SERVICES, INC.
Authorized official TIFFANY LUQUE - (SPEECH-LANGUAGE PATHOLOGIST/PRES.)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 01/27/2026 - About 4 months ago
Identifiers
FL Medicaid 114805100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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