Prabhakaran, Gayle Cordelia
Prabhakaran, Gayle Cordelia is an sole proprietor health care provider with primary practice located at 12760 Westwood Lakes Blvd , Tampa FL 33626-2345. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Prabhakaran, Gayle Cordelia can be contacted via phone (813) 855-9791.Contact Information
Primary practice address
12760 Westwood Lakes Blvd
Tampa FL 33626-2345
Phone: (813) 855-9791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA3236 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1437293883 |
|---|---|
| LBN Legal business name | Prabhakaran, Gayle Cordelia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jan 15th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437293883 | NPPES |
| Florida | MEDICAID | 885888800 |
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