MEDICARE: MS. ANN-MARIE ALICE ELIA MA, 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	SA14390	FL

General Provider Information

NPI Number	:	1831436203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN-MARIE ALICE ELIA MA, CCC-SLP

Provider Business Mailing Address
First Line	:	203 E GREENTREE LN
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4006
Country	:	US
Telephone Number	:	352-818-7368
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 COUNTY RD 466
Second Line	:	SUITE 203-L
City	:	LADY LAKE
State	:	FL
Zip	:	32159-4202
Country	:	US
Telephone Number	:	352-508-7789
Fax Number	:	352-855-0459

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

Provider Enumeration Date	:	01/05/2013
Last Update Date	:	06/03/2026

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