Healthcare Provider Details

I. General information

NPI: 1982160974
Provider Name (Legal Business Name): ROSE M. VADAPARAMPIL M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4448 EDGEWATER DR
ORLANDO FL
32804-1216
US

IV. Provider business mailing address

4448 EDGEWATER DR
ORLANDO FL
32804-1216
US

V. Phone/Fax

Practice location:
  • Phone: 407-513-3000
  • Fax: 407-513-3000
Mailing address:
  • Phone: 407-513-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI3888
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ21889
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: