Healthcare Provider Details

I. General information

NPI: 1578430005
Provider Name (Legal Business Name): IQRA ASIF BHATTI M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 PARK CENTER DR STE 230
ORLANDO FL
32835-6235
US

IV. Provider business mailing address

2672 BAY LEAF DR
ORLANDO FL
32837-6775
US

V. Phone/Fax

Practice location:
  • Phone: 321-445-1287
  • Fax:
Mailing address:
  • Phone: 407-491-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA24132
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: