Healthcare Provider Details
I. General information
NPI: 1306761473
Provider Name (Legal Business Name): NESTED CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 E NEW HAVEN AVE
MELBOURNE FL
32901-4560
US
IV. Provider business mailing address
110 E NEW HAVEN AVE
MELBOURNE FL
32901-4560
US
V. Phone/Fax
- Phone: 321-209-1073
- Fax:
- Phone: 321-209-1073
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VERONICA
BROWN
Title or Position: MGR
Credential: MS CCC, SLP
Phone: 321-209-1073