Healthcare Provider Details

I. General information

NPI: 1770307555
Provider Name (Legal Business Name): ZAVISON SPEECH & SWALLOWING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 NIX RD
PENSACOLA FL
32506-8332
US

IV. Provider business mailing address

575 NIX RD
PENSACOLA FL
32506-8332
US

V. Phone/Fax

Practice location:
  • Phone: 850-240-2485
  • Fax: 850-605-4272
Mailing address:
  • Phone: 850-240-2485
  • Fax: 850-605-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL ZAVISON
Title or Position: PRESIDENT
Credential:
Phone: 866-866-7215