MEDICARE: JAMIE FLOOD M.S. CCC-SLP P.A

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	SA8820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669872511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMIE FLOOD M.S. CCC-SLP P.A

Provider Business Mailing Address
First Line	:	6614 JACQUES WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7486
Country	:	US
Telephone Number	:	561-523-5572
Fax Number	:	561-964-0092

Provider Business Practice Location Address
First Line	:	6614 JACQUES WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7486
Country	:	US
Telephone Number	:	561-523-5572
Fax Number	:	561-964-0092

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MRS. JAMIE CHRISTINE FLOOD
Credential	:	M.S. CCC-SLP
Telephone Number	:	561-523-5572

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	08/28/2014

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Directions to “JAMIE FLOOD M.S. CCC-SLP P.A ” Practice Location

Language	Start Address	Practice Location

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