Most Relevant Information
Provider Data
| NPI Number: | 1003515347 |
| Provider Name: | REGAN BRACKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SZ11155 |
Most Important Dates
| Enumeration Date: | 02/27/2023 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
1239 MOUNT VERNON ST
ORLANDO
FL
328035417
Practice Location Phone/Fax
| Phone: | 4078102773 |
| Fax: | 4078676203 |
Provider Mailing Location
1239 MOUNT VERNON ST
ORLANDO
FL
328035417
Provider Mailing Phone/Fax
| Phone: | 4078102773 |
| Fax: | 4078676203 |