MEDICARE: GALYNA I DMYTRENKO SLPA

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	SI8562	FL

General Provider Information

NPI Number	:	1609727064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALYNA I DMYTRENKO SLPA

Provider Business Mailing Address
First Line	:	4142 MARKIN DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1526
Country	:	US
Telephone Number	:	904-655-0864
Fax Number	:

Provider Business Practice Location Address
First Line	:	4142 MARKIN DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1526
Country	:	US
Telephone Number	:	904-655-0864
Fax Number	:

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

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

Similar Medicare Providers

1750552170 — MRS. LINDSEY ELIZABETH BAKER
Practice Location Address:

1526 LORIMIER RD
JACKSONVILLE, FL
32207-4240

Practice Phone: 904-399-0967
Practice Fax:

1396387585 — NORA ELENA MONTOYA-GIL
Practice Location Address:

12171 BEACH BLVD APT 1526
JACKSONVILLE, FL
32246-1411

Practice Phone: 904-654-1323
Practice Fax:

1790325199 — BRITTANY BARRETT CBHCMS
Practice Location Address:

1526 PARENTAL HOME RD
JACKSONVILLE, FL
32216-3010

Practice Phone: 904-772-5110
Practice Fax: 904-721-2912

1649938085 — CHARLENE LUTE LMT
Practice Location Address:

1526 UNIVERSITY BLVD W # LOFT12
JACKSONVILLE, FL
32217-2006

Practice Phone: 361-443-0278
Practice Fax:

1285461848 — DECINTHIES SUTHERLAND
Practice Location Address:

1526 W 19TH ST
JACKSONVILLE, FL
32209-4914

Practice Phone: 904-290-9476
Practice Fax:

1518784321 — ER COMPANION LLC
Practice Location Address:

1526 W 19TH ST
JACKSONVILLE, FL
32209-4914

Practice Phone: 904-290-9476
Practice Fax:

Directions to “ GALYNA I DMYTRENKO SLPA” 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 © 2007-2026 (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.