MEDICARE: PATRICIA ANASTARIO

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	SA108	FL

General Provider Information

NPI Number	:	1548386188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANASTARIO

Provider Business Mailing Address
First Line	:	1105 S BLACK ACRE CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4435
Country	:	US
Telephone Number	:	407-257-7020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 S BLACK ACRE CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4435
Country	:	US
Telephone Number	:	407-257-7020
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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Directions to “ PATRICIA ANASTARIO ” Practice Location

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