Healthcare Provider Details

I. General information

NPI: 1811802770
Provider Name (Legal Business Name): ADRIANNA BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9190 OAKHURST RD STE 3
SEMINOLE FL
33776-2137
US

IV. Provider business mailing address

9190 OAKHURST RD STE 3
SEMINOLE FL
33776-2137
US

V. Phone/Fax

Practice location:
  • Phone: 727-304-5590
  • Fax: 727-291-0043
Mailing address:
  • Phone: 727-304-5590
  • Fax: 727-291-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13536
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: