Doctor Name: | MR. EDGARD ANTONIO ROBELO |
NPI Number: | 1013103761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. CCC-SLP |
License Number: | SA 8753 |
Business Practice Address: | 3564 Avalon Park Blvd E Suite 2, #249 Orlando, FL - 328287365 |
Business Phone Number: | 4077372023 |
Business Fax Number: | |
Mailing Address: | 4456 Inland Ln, ORLANDO |
State: | FL |
Postal Code: | 328171230 |
Phone Number: | 3057759763 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |