MEDICARE: VANESSA COX HOLLINGSWORTH 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	SI8532	FL

General Provider Information

NPI Number	:	1699624809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA COX HOLLINGSWORTH SLPA

Provider Business Mailing Address
First Line	:	340 SANDPIPER DR
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-4016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 ENTERPRISE RD STE A&B
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8316
Country	:	US
Telephone Number	:	386-446-9935
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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