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NPI Code Detail

MEDICARE: VICTORIA SHEA CARRASCO M.A., CF-SLP

MEDICARE: VICTORIA SHEA CARRASCO M.A., CF-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 PathologistSZ13146FL

General Provider Information

NPI Number : 1265399356
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA SHEA CARRASCO M.A., CF-SLP
Provider Business Mailing Address
First Line : 1680 CRACKER CREEK CT
Second Line :
City : OVIEDO
State : FL
Zip : 32765-5644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 CLARK ST
Second Line :
City : OVIEDO
State : FL
Zip : 32765-7378
Country : US
Telephone Number : 407-359-5693
Fax Number : 407-792-5693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ VICTORIA SHEA CARRASCO M.A., CF-SLP” Practice Location

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