Healthcare Provider Details

I. General information

NPI: 1164342135
Provider Name (Legal Business Name): AMY VENTURA MONTILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14055 TOWN LOOP BLVD STE 300
ORLANDO FL
32837-6106
US

IV. Provider business mailing address

3625 ALAFAYA HEIGHTS RD UNIT 233
ORLANDO FL
32828-7534
US

V. Phone/Fax

Practice location:
  • Phone: 407-906-9003
  • Fax:
Mailing address:
  • Phone: 201-912-7860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: