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NPI Code Detail

MEDICARE: SOUTH TAMPA VOICE THERAPY, LLC

MEDICARE: SOUTH TAMPA VOICE THERAPY, LLC
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 PathologistSA7106FL

General Provider Information

NPI Number : 1710335500
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH TAMPA VOICE THERAPY, LLC
Provider Business Mailing Address
First Line : 4707 W GANDY BLVD STE 3
Second Line :
City : TAMPA
State : FL
Zip : 33611-3310
Country : US
Telephone Number : 813-728-6601
Fax Number : 813-354-4800
Provider Business Practice Location Address
First Line : 4707 W GANDY BLVD STE 3
Second Line :
City : TAMPA
State : FL
Zip : 33611-3310
Country : US
Telephone Number : 813-728-6601
Fax Number : 813-354-4800
Authorized Official
Title or Position : OWNER, SPEECH PATHOLOGIST
Name : CARA BRYAN
Credential : MA, CCC/SLP
Telephone Number : 813-728-6601
Provider Enumeration Date : 06/02/2016
Last Update Date : 06/17/2026

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Directions to “SOUTH TAMPA VOICE THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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