Healthcare Provider Details

I. General information

NPI: 1336171826
Provider Name (Legal Business Name): CENTRAL FLORIDA SPEECH & HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/29/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 LAKELAND HIGHLANDS ROAD
LAKELAND FL
33803-4338
US

IV. Provider business mailing address

3020 LAKELAND HIGHLANDS ROAD
LAKELAND FL
33803-4338
US

V. Phone/Fax

Practice location:
  • Phone: 863-686-3189
  • Fax: 863-682-1348
Mailing address:
  • Phone: 863-686-3189
  • Fax: 863-682-1348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name: ROBIN COLE
Title or Position: VP OF HR AND PATIENT SERVICES
Credential:
Phone: 863-686-3189