Most Relevant Information
Provider Data
NPI Number: | 1003534710 |
Provider Name: | SAMANTHA MOORE CCC-SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | SA20378 |
Most Important Dates
Enumeration Date: | 08/18/2022 |
Last Updated: | 08/18/2022 |
Provider Practice Location
351 N ORLANDO AVE
WINTER PARK
FL
327892911
Practice Location Phone/Fax
Phone: | 4073037600 |
Fax: |
Provider Mailing Location
591 TRELAGO WAY APT 201
MAITLAND
FL
327514319
Provider Mailing Phone/Fax
Phone: | 7276414114 |
Fax: |