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Contact Information

ADVANCE SPEECH AND LANGUAGE CENTER
214 NORTH WASHINGTON STREET
PERRY, FL32347
 Phone: 850-843-1052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADVANCE SPEECH AND LANGUAGE CENTER

NPI # 1225250764
LBN Legal business name ADVANCE SPEECH AND LANGUAGE CENTER
Authorized official MARGIE ADDISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 06/17/2008 - About 18 years ago
Identifiers
FL License # SA8913
FL Medicaid 892105900
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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