Healthcare Provider Details

I. General information

NPI: 1174359400
Provider Name (Legal Business Name): KAYLA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SAND LAKE RD STE 266
ORLANDO FL
32809-7748
US

IV. Provider business mailing address

4698 CHEYENNE POINT TRL
KISSIMMEE FL
34746-6354
US

V. Phone/Fax

Practice location:
  • Phone: 321-445-1287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSI6938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: