Healthcare Provider Details

I. General information

NPI: 1962338327
Provider Name (Legal Business Name): LIAM JOSEPH BENDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1858 N ALAFAYA TRL STE 207
ORLANDO FL
32826-4754
US

IV. Provider business mailing address

1694 RIDGEMOOR DR
MASCOTTE FL
34753-9634
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-5313
  • Fax:
Mailing address:
  • Phone: 321-747-5426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: