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NPI Code Detail

MEDICARE: DELIA M TRONCOSO M.S., CCC-SLP

MEDICARE:   DELIA M TRONCOSO  M.S., CCC-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 PathologistSA3130FL

General Provider Information

NPI Number : 1376077362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELIA M TRONCOSO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 3024 PATRICK PL
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-1439
Country : US
Telephone Number : 727-687-4942
Fax Number :
Provider Business Practice Location Address
First Line : 3190 N MCMULLEN BOOTH RD
Second Line : SUITE 100
City : CLEARWATER
State : FL
Zip : 33761-2013
Country : US
Telephone Number : 727-791-1368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 04/17/2017

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Directions to “ DELIA M TRONCOSO M.S., CCC-SLP” Practice Location

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