Healthcare Provider Details

I. General information

NPI: 1699467340
Provider Name (Legal Business Name): MRS. DANIELA PEKARSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELA VELIKOROSTOV

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 5TH ST
APOPKA FL
32703-5315
US

IV. Provider business mailing address

3846 ISLE ROYAL PL
APOPKA FL
32712-5583
US

V. Phone/Fax

Practice location:
  • Phone: 407-703-2711
  • Fax:
Mailing address:
  • Phone: 386-262-4551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: