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NPI Code Detail

MEDICARE: LAURA CAICEDO

MEDICARE: LAURA CAICEDO
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 Pathologist123589TX
2235Z00000XSpeech-Language PathologistSA17974FL

General Provider Information

NPI Number : 1073174470
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CAICEDO
Provider Business Mailing Address
First Line : 3135 VIA OTERO DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4103
Country : US
Telephone Number : 407-334-8955
Fax Number :
Provider Business Practice Location Address
First Line : 830 29TH ST
Second Line :
City : ORLANDO
State : FL
Zip : 32805-6219
Country : US
Telephone Number : 407-843-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 12/19/2025

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Directions to “ LAURA CAICEDO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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