MEDICARE: ILENA ROTUNDO 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
1	235Z00000X	Speech-Language Pathologist	SZ3807	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558371419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILENA ROTUNDO M.S CCC/SLP

Provider Business Mailing Address
First Line	:	3805 TORRES CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-8119
Country	:	US
Telephone Number	:	561-225-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	3805 TORRES CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-8119
Country	:	US
Telephone Number	:	561-640-6994
Fax Number	:

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/21/2024

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Directions to “ ILENA ROTUNDO M.S CCC/SLP” Practice Location

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