Healthcare Provider Details

I. General information

NPI: 1336066083
Provider Name (Legal Business Name): UNLIMITED PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 AUBURNDALE AVE
ORLANDO FL
32839-8823
US

IV. Provider business mailing address

3721 AUBURNDALE AVE
ORLANDO FL
32839-8823
US

V. Phone/Fax

Practice location:
  • Phone: 863-991-4142
  • Fax:
Mailing address:
  • Phone: 863-991-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICOLE SWAFFORD
Title or Position: ITDS
Credential:
Phone: 863-991-4142