Healthcare Provider Details

I. General information

NPI: 1386569515
Provider Name (Legal Business Name): MANGROVE VOICE AND SWALLOW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13575 58TH ST N STE 200
CLEARWATER FL
33760-3739
US

IV. Provider business mailing address

13575 58TH ST N STE 200
CLEARWATER FL
33760-3739
US

V. Phone/Fax

Practice location:
  • Phone: 305-690-3777
  • Fax:
Mailing address:
  • Phone: 305-690-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VERONICA LIMA
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: M.S., CCC-SLP
Phone: 305-690-3777