Healthcare Provider Details

I. General information

NPI: 1447448386
Provider Name (Legal Business Name): MS. KALYN SALIBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6734 RUNNER OAK DR
WESLEY CHAPEL FL
33545-4826
US

IV. Provider business mailing address

6734 RUNNER OAK DR STE 201
WESLEY CHAPEL FL
33545-4826
US

V. Phone/Fax

Practice location:
  • Phone: 813-309-4069
  • Fax:
Mailing address:
  • Phone: 813-309-4069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSI1431
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: