MEDICARE: ESSENTIAL SKILLS PEDIATRIC THERAPY 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
2	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1205390051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL SKILLS PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	5162 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1802
Country	:	US
Telephone Number	:	352-600-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	5162 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-1802
Country	:	US
Telephone Number	:	352-600-8300
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LESLIE GOOCH
Credential	:
Telephone Number	:	727-808-8986

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	04/18/2023

Similar Medicare Providers

1174610018 — IHAB HERRAKA M.D.
Practice Location Address:

5196 MARINER BLVD
SPRING HILL, FL
34609-1802

Practice Phone: 352-263-2831
Practice Fax: 352-263-2845

1962635144 — PROACTIVE CARE MEDICAL GROUP PA
Practice Location Address:

5196 MARINER BOULEVARD
SPRING HILL, FL
34609-1802

Practice Phone: 352-263-2831
Practice Fax:

1821323759 — GLORY GLOBAL GROUP INCORPORATION
Practice Location Address:

5192 MARINER BLVD
SPRING HILL, FL
34609-1802

Practice Phone: 352-610-4410
Practice Fax: 352-610-4411

1194075218 — MRS. STEPHANIE S ANDREWS MS,CCC-SLP
Practice Location Address:

5162 MARINER BLVD
SPRING HILL, FL
34609-1802

Practice Phone: 352-600-8300
Practice Fax:

1528608155 — NORTH TAMPA PHYSICIAN ASSOCIATES LLC
Practice Location Address:

5196 MARINER BLVD
SPRING HILL, FL
34609-1802

Practice Phone: 352-871-0992
Practice Fax:

1619702859 — KELSIE CLIFTON SLPA
Practice Location Address:

5162 MARINER BLVD
SPRING HILL, FL
34609-1802

Practice Phone: 352-600-8300
Practice Fax: 352-251-3161

Directions to “ESSENTIAL SKILLS PEDIATRIC THERAPY LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.