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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

NPI # 1427796630
LBN Legal business name KREDO HEALTH LLC
Authorized official SOAUD CORNELL - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2022
Last updated 10/24/2022 - About 4 years ago
Identifiers
FL Medicaid 114416000
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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