MEDICARE: RILEY CAYDEN BERNARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SI7739	FL

General Provider Information

NPI Number	:	1033041454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RILEY CAYDEN BERNARD

Provider Business Mailing Address
First Line	:	327 FAIRMONT RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14055 TOWN LOOP BLVD STE AND300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6105
Country	:	US
Telephone Number	:	140-785-7628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ RILEY CAYDEN BERNARD ” Practice Location

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