Jaqualine Fort SLP-CFY

NPI 1043584295 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043584295
Gender Female
Enumeration Date 03/06/2012
Last Updated 03/06/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1000 SAVAGE CT STE 101
LONGWOOD FL, 32750-4988, US
Phone (407) 271-4911
Fax (407) 264-8344
Business Location
2308 ECON CIR APT 183
ORLANDO FL, 32817-2691, US
Phone (407) 937-8664
Taxonomy Code 235Z00000X
License State Florida
License Number SZ5745
Remove 1043584295 NPI Number

According to our database, Mrs. Jaqualine Fort SLP-CFY NPI is 1043584295, taxonomy code is 235Z00000X and license number is SZ5745, license state is located at Florida. Jaqualine Fort SLP-CFY physically located at 1000 Savage Ct Ste 101, Longwood FL, 32750-4988. NPI Number Jaqualine Fort SLP-CFY has the Individual type.

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1043584295 NPI number is provided on an as is basis without warranty of any kind. 1043584295 is maintained by the National Plan & Provider Enumeration System. The contents of Jaqualine Fort SLP-CFY are for informational purposes only.