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: |