MEDICARE: ALEXANDRA DEL LLANO

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	SA13574	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

General Provider Information

NPI Number	:	1750703914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA DEL LLANO

Provider Business Mailing Address
First Line	:	465 S ORLANDO AVE STE 320
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-5654
Country	:	US
Telephone Number	:	407-790-5601
Fax Number	:	407-602-7858

Provider Business Practice Location Address
First Line	:	800 WESTWOOD SQ STE D
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8849
Country	:	US
Telephone Number	:	407-790-5601
Fax Number	:	407-602-7858

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

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	05/01/2019

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Directions to “ ALEXANDRA DEL LLANO ” Practice Location

Language	Start Address	Practice Location

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