MEDICARE: ANA CAROLINA PEREIRA FONSECA GUEDES

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	2355S0801X	Speech-Language Assistant	8499	FL

General Provider Information

NPI Number	:	1376473660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA CAROLINA PEREIRA FONSECA GUEDES

Provider Business Mailing Address
First Line	:	5457 NEW INDEPENDENCE PKWY
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-8781
Country	:	US
Telephone Number	:	321-389-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	14393 BRIDGEWATER CROSSINGS BLVD
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-3259
Country	:	US
Telephone Number	:	516-784-7255
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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