OrganizationActive
Atlantic Speech Therapy
NPI 1881021749 · Contractor · Jacksonville, FL
Provider details
- NPI number
- 1881021749
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Otto, Director/Owner(904) 652-5408
- License
- 15996 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Phone: (904) 652-5408
Approximate (ZIP-level) locationGet directions
Mailing address
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Registry dates
- Enumerated
- 2013-10-08
- Last updated
- 2013-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.