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NPI Code Detail

MEDICARE: CARA BRYAN MA, CCC/SLP

MEDICARE:   CARA  BRYAN  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
1235Z00000XSpeech-Language PathologistSA7106FL

General Provider Information

NPI Number : 1972970473
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA BRYAN MA, CCC/SLP
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 :
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 06/08/2026

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Directions to “ CARA BRYAN MA, CCC/SLP” Practice Location

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