Healthcare Provider Details

I. General information

NPI: 1700623253
Provider Name (Legal Business Name): NUNES SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 SHERWOOD CIR APT 15D
JUPITER FL
33458-8509
US

IV. Provider business mailing address

132 SHERWOOD CIR APT 15D
JUPITER FL
33458-8509
US

V. Phone/Fax

Practice location:
  • Phone: 508-922-6021
  • Fax:
Mailing address:
  • Phone: 508-922-6021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATANNE NUNES
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 508-922-6021