Healthcare Provider Details

I. General information

NPI: 1437242823
Provider Name (Legal Business Name): KARLA RENEE ZAFFIS MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 LAGOON DR
OVIEDO FL
32765-6219
US

IV. Provider business mailing address

593 LAGOON DR
OVIEDO FL
32765-6219
US

V. Phone/Fax

Practice location:
  • Phone: 407-402-6306
  • Fax: 407-977-9929
Mailing address:
  • Phone: 407-402-6306
  • Fax: 407-977-9929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 8567
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: