Healthcare Provider Details

I. General information

NPI: 1982032256
Provider Name (Legal Business Name): JULIE B SARCIA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2013
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7380 W SAND LAKE RD SUITE 500
ORLANDO FL
32819-5248
US

IV. Provider business mailing address

13506 SUMMERPORT VILLAGE PKWY SUITE 410
WINDERMERE FL
34786-7366
US

V. Phone/Fax

Practice location:
  • Phone: 407-905-9300
  • Fax:
Mailing address:
  • Phone: 407-905-9300
  • Fax: 407-905-9309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI1828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: