MEDICARE: MONIQUE R MAY M.S. 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
1	235Z00000X	Speech-Language Pathologist	SA17381	FL

General Provider Information

NPI Number	:	1841732468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE R MAY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	8001 BRIDGESTONE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8017
Country	:	US
Telephone Number	:	407-760-7823
Fax Number	:

Provider Business Practice Location Address
First Line	:	4804 EDGEWATER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-1126
Country	:	US
Telephone Number	:	407-900-4805
Fax Number	:

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

Provider Enumeration Date	:	11/14/2016
Last Update Date	:	07/15/2020

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