Healthcare Provider Details

I. General information

NPI: 1548988082
Provider Name (Legal Business Name): SHERRY OWAIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S KIRKMAN RD STE 378
ORLANDO FL
32819-7940
US

IV. Provider business mailing address

5401 S KIRKMAN RD STE 378
ORLANDO FL
32819-7940
US

V. Phone/Fax

Practice location:
  • Phone: 863-663-2944
  • Fax:
Mailing address:
  • Phone: 863-663-2944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA23870
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number117227
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: