Healthcare Provider Details

I. General information

NPI: 1356362503
Provider Name (Legal Business Name): CAROLINE L BIAS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12901 BROLEMAN RD
ORLANDO FL
32832-6107
US

IV. Provider business mailing address

2130 MICHIGAN AVE # 314
KISSIMMEE FL
34744-2927
US

V. Phone/Fax

Practice location:
  • Phone: 321-947-6282
  • Fax:
Mailing address:
  • Phone: 407-641-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 7577
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberSA7577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: