MEDICARE: MRS. RANDI HOPE CECILIO 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	SA7757	FL

General Provider Information

NPI Number	:	1669207650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RANDI HOPE CECILIO SLP

Provider Business Mailing Address
First Line	:	4010 NEW BROAD CIR APT 108
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7383
Country	:	US
Telephone Number	:	407-325-2582
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 ALAFAYA WOODS BLVD
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7095
Country	:	US
Telephone Number	:	407-542-0885
Fax Number	:

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

Provider Enumeration Date	:	09/07/2024
Last Update Date	:	09/07/2024

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Directions to “ MRS. RANDI HOPE CECILIO SLP” Practice Location

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