MEDICARE: MRS. CYNTHIA CHRISTINE STRAZZULLA MS-CCC, SLP

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	11807	FL

General Provider Information

NPI Number	:	1629718150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA CHRISTINE STRAZZULLA MS-CCC, SLP

Provider Business Mailing Address
First Line	:	19200 HWY 27
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-2451
Country	:	US
Telephone Number	:	863-949-5800
Fax Number	:	863-949-5252

Provider Business Practice Location Address
First Line	:	19200 HWY 27
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-2451
Country	:	US
Telephone Number	:	863-949-5800
Fax Number	:	863-949-5252

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

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	01/07/2026

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