Healthcare Provider Details

I. General information

NPI: 1437721180
Provider Name (Legal Business Name): ROWEN NARDINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/13/2021
Certification Date: 07/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12575 SPRING HILL DR
SPRING HILL FL
34609-5028
US

IV. Provider business mailing address

12575 SPRING HILL DR
SPRING HILL FL
34609-5028
US

V. Phone/Fax

Practice location:
  • Phone: 352-616-0649
  • Fax: 855-445-4198
Mailing address:
  • Phone: 352-616-0649
  • Fax: 855-445-4198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI4924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: