Healthcare Provider Details
I. General information
NPI: 1093671919
Provider Name (Legal Business Name): PATH TO SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2317 EAGLES NEST RD
JACKSONVILLE FL
32246-7083
US
IV. Provider business mailing address
2317 EAGLES NEST RD
JACKSONVILLE FL
32246-7083
US
V. Phone/Fax
- Phone: 904-602-6566
- Fax:
- Phone: 904-602-6566
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
SERAPHINE
Title or Position: SLP
Credential: MA,CCC-SLP
Phone: 904-602-6566