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NPI Code Detail

MEDICARE: ALEXIS KRISTINE GUERRA

MEDICARE:   ALEXIS KRISTINE GUERRA
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
1235Z00000XSpeech-Language PathologistFL

General Provider Information

NPI Number : 1578105136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS KRISTINE GUERRA
Provider Business Mailing Address
First Line : 2501 N ORANGE BLOSSOM TRL APT 170
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4861
Country : US
Telephone Number : 772-607-3875
Fax Number :
Provider Business Practice Location Address
First Line : 861 W MORSE BLVD STE 1
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-3746
Country : US
Telephone Number : 407-637-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2019
Last Update Date : 10/21/2024

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Directions to “ ALEXIS KRISTINE GUERRA ” Practice Location

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