Healthcare Provider Details

I. General information

NPI: 1376489971
Provider Name (Legal Business Name): LEILA BOVE C-SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8817 MITCHELL BLVD
NEW PORT RICHEY FL
34655-4407
US

IV. Provider business mailing address

31840 US HIGHWAY 19 N
PALM HARBOR FL
34684-3713
US

V. Phone/Fax

Practice location:
  • Phone: 727-202-1477
  • Fax: 727-350-9665
Mailing address:
  • Phone: 727-202-9200
  • Fax: 727-350-9665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI7996
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: