MEDICARE: MIA ROSENFELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1083571467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA ROSENFELD

Provider Business Mailing Address
First Line	:	935 OVIEDO BLVD APT 3004
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-3521
Country	:	US
Telephone Number	:	321-217-5557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 CITRUS TOWER BLVD STE D
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6880
Country	:	US
Telephone Number	:	407-374-8010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	03/11/2026

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Directions to “ MIA ROSENFELD ” Practice Location

Language	Start Address	Practice Location

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