Imagine Pediatric Therapy, Llc

LBN: Imagine Pediatric Therapy Of Brevard, Llc
Imagine Pediatric Therapy, Llc is an health care organization with primary practice located at 600 N Sonora Cir , Indialantic FL 32903-3735. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Imagine Pediatric Therapy Of Brevard, Llc can be contacted via phone (321) 223-8791, or through Delgado, Yelba Mercedes via phone (321) 223-8791.

Contact Information

Primary practice address
600 N Sonora Cir Indialantic FL 32903-3735
Fax:
Website:
Authorized official contact:
Name: Delgado, Yelba Mercedes MS. CCC-SLP

Profile Details

NPI number 1942857511
LBN Legal business name Imagine Pediatric Therapy Of Brevard, Llc
DBA Doing business as Imagine Pediatric Therapy, Llc
Authorized official Delgado, Yelba Mercedes MS. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2019
Last updated Jun 19th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942857511 NPPES
Florida MEDICAID 104044500
Florida MEDICAID 110199500

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