Healthcare Provider Details

I. General information

NPI: 1366652521
Provider Name (Legal Business Name): SCHIAVONI & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NW 33RD CT
GAINESVILLE FL
32607-2552
US

IV. Provider business mailing address

11 NW 33RD CT
GAINESVILLE FL
32607-2552
US

V. Phone/Fax

Practice location:
  • Phone: 352-374-7155
  • Fax:
Mailing address:
  • Phone: 352-374-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name: LISA SCHIAVONI
Title or Position: PRESIDENT
Credential:
Phone: 352-374-7155