Healthcare Provider Details

I. General information

NPI: 1689246894
Provider Name (Legal Business Name): SUNSHINE STATE SPEECH SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6143 S ORANGE BLOSSOM TRL STE B
ORLANDO FL
32809-4609
US

IV. Provider business mailing address

1946 SHERBOURNE ST
WINTER GARDEN FL
34787-4603
US

V. Phone/Fax

Practice location:
  • Phone: 321-437-3393
  • Fax:
Mailing address:
  • Phone: 321-437-3393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY DEBOW
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 321-437-3393