MEDICARE: ACE COMMUNICATION, L.L.C

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	SA5127	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	:	1790193266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE COMMUNICATION, L.L.C

Provider Business Mailing Address
First Line	:	7060 OLD ORCHARD WAY
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-9432
Country	:	US
Telephone Number	:	561-704-7172
Fax Number	:	561-401-5582

Provider Business Practice Location Address
First Line	:	7060 OLD ORCHARD WAY
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-9432
Country	:	US
Telephone Number	:	561-704-7172
Fax Number	:	561-401-5582

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. NICOLE CLARK ALLEN
Credential	:	M.S. CCC-SLP
Telephone Number	:	561-704-7172

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	07/29/2014

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Directions to “ACE COMMUNICATION, L.L.C ” Practice Location

Language	Start Address	Practice Location

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