Imagine Pediatric Therapy Of Brevard, Llc
Speech-Language Pathologist · Indialantic, FL
At a glance
600 N Sonora Cir, Indialantic, FL 32903-3735
NPPES record updated Aug 1, 2025. Public records can lag behind changes at a practice.
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Practice location
600 N Sonora CirIndialantic, FL 32903-3735
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Aug 19, 2019
- Record updated
- Aug 1, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Speech-Language Pathologist
235Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
600 N Sonora CirIndialantic, FL 32903-3735
- Phone
- (321) 223-8791
Mailing address
600 N SONORA CIRINDIALANTIC, FL 329033735
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