MEDICARE: KENNEDY ELIZABETH RAFFA

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	SZ10059	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	:	1942890272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNEDY ELIZABETH RAFFA

Provider Business Mailing Address
First Line	:	3610 CRAWLEY DOWN LOOP
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32773-7122
Country	:	US
Telephone Number	:	407-454-4189
Fax Number	:

Provider Business Practice Location Address
First Line	:	861 W MORSE BLVD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-3765
Country	:	US
Telephone Number	:	407-637-2277
Fax Number	:

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

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	06/01/2021

Similar Medicare Providers

1689249260 — ANNA PRISCILLA PEARSON M.A., CF-SLP
Practice Location Address:

861 W MORSE BLVD
WINTER PARK, FL
32789-3765

Practice Phone: 407-637-2277
Practice Fax:

1841990645 — ANNA ELIZABETH STAWARA
Practice Location Address:

861 W MORSE BLVD
WINTER PARK, FL
32789-3765

Practice Phone: 407-637-2277
Practice Fax:

1538344924 — SONIA LUCAS
Practice Location Address:

6881 YOUNGER DR APT 6
BUENA PARK, CA
90620-3765

Practice Phone: 714-761-7044
Practice Fax:

1407026560 — FREMONT MEDICAL SERVICES PC
Practice Location Address:

3765 HIGHWAY 20 S
ISLAND PARK, ID
83429

Practice Phone: 208-558-7766
Practice Fax:

1285136556 — DAYLIGHT TRANSPORTATION LLC
Practice Location Address:

3765 CRESCENT PARK BLVD
ORLANDO, FL
32812-3829

Practice Phone: 407-613-5752
Practice Fax:

1972169159 — SHOLOM COMMUNITY ALLIANCE, LLC
Practice Location Address:

3610 PHILLIPS PKWY
ST LOUIS PARK, MN
55426-3765

Practice Phone: 952-908-1700
Practice Fax:

Directions to “ KENNEDY ELIZABETH RAFFA ” 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.