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NPI Code Detail

MEDICARE: MS. NICOLE DAY M.S. CCC-SLP

MEDICARE: MS. NICOLE DAY M.S. CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA15454FL

General Provider Information

NPI Number : 1063852879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE DAY M.S. CCC-SLP
Provider Business Mailing Address
First Line : 15926 NOTTINGHILL DR
Second Line :
City : LUTZ
State : FL
Zip : 33548-6182
Country : US
Telephone Number : 813-528-1714
Fax Number : 813-877-7323
Provider Business Practice Location Address
First Line : 2916 HABANA WAY
Second Line :
City : TAMPA
State : FL
Zip : 33614-7108
Country : US
Telephone Number : 813-877-7415
Fax Number : 813-877-7323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 03/25/2019

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