Healthcare Provider Details

I. General information

NPI: 1750205894
Provider Name (Legal Business Name): SAMANTHA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7075 KINGSPOINTE PKWY STE 14
ORLANDO FL
32819-6542
US

IV. Provider business mailing address

7075 KINGSPOINTE PKWY STE 14
ORLANDO FL
32819-6542
US

V. Phone/Fax

Practice location:
  • Phone: 321-732-3723
  • Fax: 321-352-7168
Mailing address:
  • Phone: 321-732-3723
  • Fax: 321-352-7168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: