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NPI Code Detail

MEDICARE: KALEENA MAYAN

MEDICARE:   KALEENA  MAYAN
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
1235Z00000XSpeech-Language PathologistSA22475FL

General Provider Information

NPI Number : 1447962717
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEENA MAYAN
Provider Business Mailing Address
First Line : 5717 SAGO PALM DR
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7160
Country : US
Telephone Number : 786-301-8958
Fax Number :
Provider Business Practice Location Address
First Line : 5717 SAGO PALM DR
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7160
Country : US
Telephone Number : 786-301-8958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/05/2024

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Directions to “ KALEENA MAYAN ” Practice Location

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