Federico, Jeanne

Federico, Jeanne is an individual health care provider with primary practice located at 16102 N Florida Ave , Lutz FL 33549-6129. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Federico, Jeanne can be contacted via phone (813) 873-1936.

Contact Information

Primary practice address
16102 N Florida Ave Lutz FL 33549-6129
Fax: (813) 873-8837
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9223 Florida

Profile Details

NPI number 1699832428
LBN Legal business name Federico, Jeanne
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 1st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699832428 NPPES
Florida MEDICAID 891000600

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