MEDICARE: MISS URSULA RECARTE

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	235Z00000X	Speech-Language Pathologist	SA22677	FL

General Provider Information

NPI Number	:	1063121275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS URSULA RECARTE

Provider Business Mailing Address
First Line	:	974 TACARO AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-5027
Country	:	US
Telephone Number	:	321-209-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	974 TACARO AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-5027
Country	:	US
Telephone Number	:	321-209-2226
Fax Number	:

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

Provider Enumeration Date	:	11/16/2022
Last Update Date	:	03/10/2026

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Directions to “ MISS URSULA RECARTE ” Practice Location

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