DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. KRISTINA GUSTAFSON-RAIRIE CCC-SLP

MEDICARE: MRS. KRISTINA GUSTAFSON-RAIRIE CCC-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
1235Z00000XSpeech-Language PathologistSA 5386FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2S2526OTHERFLBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730271396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINA GUSTAFSON-RAIRIE CCC-SLP
Provider Business Mailing Address
First Line : 5 OKLAHOMA ST.
Second Line :
City : BEVERLY HILLS
State : FL
Zip : 43365
Country : US
Telephone Number : 352-746-9448
Fax Number : 352-746-9323
Provider Business Practice Location Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-746-9233
Fax Number : 352-746-9323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 10/12/2018

Similar Medicare Providers

1154374924 — JORDAN VALERIE KEEN MSPT
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-419-6570
Practice Fax: 888-639-2521
1831299155 — MS. MARYJANE SEELEY MS, CCC-SLP, ATP
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-419-6570
Practice Fax: 888-639-2521
1902995681 — CITRUS COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-341-4633
Practice Fax: 352-341-4656
1902971138 — PEDRO BENJAMIN NAVARRO PT
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-419-6570
Practice Fax: 888-639-2521
1881745115 — KAREN STROM OTR
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-419-6570
Practice Fax: 888-639-2521
1760538763 — DAVID DESMOND
Practice Location Address:
130 HEIGHTS AVE
INVERNESS, FL
34452-4571
Practice Phone: 352-419-6570
Practice Fax:

Directions to “ MRS. KRISTINA GUSTAFSON-RAIRIE CCC-SLP” 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.