MEDICARE: RHONDA KAY DRAWDY

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	SA7608	ZZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154578664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA KAY DRAWDY

Provider Business Mailing Address
First Line	:	7664 GERMANY CANAL RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34987-3300
Country	:	US
Telephone Number	:	772-461-9954
Fax Number	:	771-461-9954

Provider Business Practice Location Address
First Line	:	7664 GERMANY CANAL RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34987-3300
Country	:	US
Telephone Number	:	772-461-9954
Fax Number	:	771-461-9954

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/26/2008

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Directions to “ RHONDA KAY DRAWDY ” Practice Location

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