MEDICARE: MELISSA AMARAL SANTOS DE ASSIS

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	SI8476	FL

General Provider Information

NPI Number	:	1548115983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA AMARAL SANTOS DE ASSIS

Provider Business Mailing Address
First Line	:	5007 RIVER GEM AVE
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-3155
Country	:	US
Telephone Number	:	689-280-7858
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4200
Country	:	US
Telephone Number	:	321-347-8419
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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