Healthcare Provider Details

I. General information

NPI: 1841908100
Provider Name (Legal Business Name): COURTNEY EYMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. COURTNEY HUNT

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4680 LAKE UNDERHILL RD
ORLANDO FL
32807-1182
US

IV. Provider business mailing address

110 MOCKINGBIRD LN
WINTER SPRINGS FL
32708-3210
US

V. Phone/Fax

Practice location:
  • Phone: 407-904-0137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI5939
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: