MEDICARE: PEGGY JORDAN MS, 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	SA8360	FL

General Provider Information

NPI Number	:	1568510139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY JORDAN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	10307 ORCHARD HILLS CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2577
Country	:	US
Telephone Number	:	813-746-0387
Fax Number	:	813-237-8593

Provider Business Practice Location Address
First Line	:	2401 E HENRY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4434
Country	:	US
Telephone Number	:	813-988-7633
Fax Number	:	813-237-8593

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1649364852 — MRS. PATRICIA PUTNEY TOPE M.S., CCC/SLP
Practice Location Address:

2401 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-988-7633
Practice Fax: 813-237-8593

1275685687 — MANDI WILSON M.S., CCC-SLP
Practice Location Address:

2401 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-988-7633
Practice Fax: 813-237-8593

1275661217 — MRS. KARLY ANNE FISHER OTR-L
Practice Location Address:

2403 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-988-7633
Practice Fax:

1275650038 — MRS. JESSICA MARIE STAMPER OTR
Practice Location Address:

2401 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-236-5589
Practice Fax:

1467637447 — ELIZABETH BURKLOW M.A., CCC-SLP
Practice Location Address:

2401 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-236-5589
Practice Fax:

1376872424 — MR. PRISCILLA CHEREE JULIAN RN
Practice Location Address:

2403 E HENRY AVE
TAMPA, FL
33610-4434

Practice Phone: 813-988-7633
Practice Fax:

Directions to “ PEGGY JORDAN MS, CCC-SLP” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.