MEDICARE: COMMUNICATION AND REHABILITATION STATION LLC

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

General Provider Information

NPI Number	:	1114660479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNICATION AND REHABILITATION STATION LLC

Provider Business Mailing Address
First Line	:	2901 SE AIRPORT RD
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-7287
Country	:	US
Telephone Number	:	352-213-4381
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 SE AIRPORT RD
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-7287
Country	:	US
Telephone Number	:	352-213-4381
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	CASSANDRA LEE DOBBINS
Credential	:	M.S., CCC--SLP
Telephone Number	:	352-213-4381

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	02/19/2025

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