Healthcare Provider Details

I. General information

NPI: 1427819788
Provider Name (Legal Business Name): SYDNEY RENE EYSTER CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date: 08/25/2026
Reactivation Date: 09/14/2026

III. Provider practice location address

866 99TH AVE N
NAPLES FL
34108-2234
US

IV. Provider business mailing address

866 99TH AVE N
NAPLES FL
34108-2234
US

V. Phone/Fax

Practice location:
  • Phone: 239-392-1070
  • Fax:
Mailing address:
  • Phone: 239-392-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13569
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: