MEDICARE: SPECIALIZED SPEECH CENTER, INC.

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	225X00000X	Occupational Therapist	OT11451	FL
2	235Z00000X	Speech-Language Pathologist	SA4906	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S1795	OTHER	FL	BC/BS OF FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2015424	OTHER	FL	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	T0757	OTHER	FL	BC/BS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346213576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED SPEECH CENTER, INC.

Provider Business Mailing Address
First Line	:	3335 N UNIVERSITY DR
Second Line	:	SUITE 5
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2200
Country	:	US
Telephone Number	:	954-442-9422
Fax Number	:	954-442-9150

Provider Business Practice Location Address
First Line	:	3335 N UNIVERSITY DR
Second Line	:	SUITE 5
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2200
Country	:	US
Telephone Number	:	954-442-9422
Fax Number	:	954-442-9150

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	JOHN TAMBASCO
Credential	:	MS/CCC-SLP
Telephone Number	:	954-442-9422

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/05/2014

Similar Medicare Providers

1376664854 — MEDFLO HOME HEALTH CARE, INC.
Practice Location Address:

3335 N UNIVERSITY DR , STE 3
HOLLYWOOD, FL
33024-2200

Practice Phone: 954-704-4494
Practice Fax: 954-704-4470

1447460571 — AMY CATHERINE KELLEY M.S. OT
Practice Location Address:

3335 N UNIVERSITY DR , SUITE 5
HOLLYWOOD, FL
33024-2200

Practice Phone: 305-546-6438
Practice Fax:

1003094814 — CHRISTINE HERNANDEZ MS-CFSLP
Practice Location Address:

3335 N UNIVERSITY DR STE 5
HOLLYWOOD, FL
33024-2200

Practice Phone: 954-442-9422
Practice Fax: 954-442-9150

1609175215 — MRS. SUZANNE ELIZABETH CHEAS MOTR/L
Practice Location Address:

3335 N UNIVERSITY DR , SUITE 5
HOLLYWOOD, FL
33024-2200

Practice Phone: 954-442-9422
Practice Fax: 954-442-9150

1891087391 — MRS. VENITA MARIE LITVACK M.A., CCC-SLP
Practice Location Address:

3335 N UNIVERSITY DR , SUITE 5
HOLLYWOOD, FL
33024-2200

Practice Phone: 954-442-9422
Practice Fax: 954-442-9150

1356620769 — REBECA FISIKELLI
Practice Location Address:

3335 N UNIVERSITY DR , SUITE 5
HOLLYWOOD, FL
33024-2200

Practice Phone: 954-442-9422
Practice Fax:

Directions to “SPECIALIZED SPEECH CENTER, INC. ” 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.