MEDICARE: MS. NATALYA BRILL

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	SA17468	FL

General Provider Information

NPI Number	:	1356823447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALYA BRILL

Provider Business Mailing Address
First Line	:	135 CORAL DR
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-2010
Country	:	US
Telephone Number	:	336-830-1989
Fax Number	:

Provider Business Practice Location Address
First Line	:	8348 LITTLE RD STE 349
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4919
Country	:	US
Telephone Number	:	727-741-3405
Fax Number	:

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

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	08/31/2021

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Directions to “ MS. NATALYA BRILL ” Practice Location

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