MEDICARE: SPEECHWORKS

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	SA7910	FL

General Provider Information

NPI Number	:	1558694331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECHWORKS

Provider Business Mailing Address
First Line	:	3225 S MACDILL AVE
Second Line	:	SUIT #129-333
City	:	TAMPA
State	:	FL
Zip	:	33629-8171
Country	:	US
Telephone Number	:	813-494-2637
Fax Number	:	813-839-3639

Provider Business Practice Location Address
First Line	:	3225 S MACDILL AVE
Second Line	:	SUIT #129-333
City	:	TAMPA
State	:	FL
Zip	:	33629-8171
Country	:	US
Telephone Number	:	813-494-2637
Fax Number	:	813-839-3639

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	MRS. ASHLI ELIZABETH GIVENS
Credential	:	M.S., CCC/SLP
Telephone Number	:	813-494-2637

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	09/11/2009

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Practice Location Address:

3225 S MACDILL AVE STE 129-300
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33629-8171

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1366154270 — ADRIAN MARTINEZ RUBIO APRN
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1366603938 — DAVID ALBERT JOHNSON M.D.
Practice Location Address:

3225 S MACDILL AVE , SUITE 129-258
TAMPA, FL
33629-8171

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Practice Fax:

1114253796 — DR. BHAVIN PATIDAR M.D.
Practice Location Address:

3225 S MACDILL AVE STE 129-300
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33629-8171

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1346504123 — DR. MEHUL SUMAN PATEL M.D.
Practice Location Address:

3225 S MACDILL AVE # 12-269
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1609115534 — MATTHEW J PETTIT APRN
Practice Location Address:

3225 S MACDILL AVE STE 129-300
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33629-8171

Practice Phone: 813-441-6803
Practice Fax: 813-524-6352

Directions to “SPEECHWORKS ” 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.

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