Mastrota, Antonietta Lucia

Mastrota, Antonietta Lucia is an individual health care provider with primary practice located at 2957 W State Road 434 Ste 100 , Longwood FL 32779-4453. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mastrota, Antonietta Lucia can be contacted via phone (407) 960-4049.

Contact Information

Primary practice address
2957 W State Road 434 Ste 100 Longwood FL 32779-4453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ8796 Florida

Profile Details

NPI number 1447734009
LBN Legal business name Mastrota, Antonietta Lucia
Credentials M.S, CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Oct 2nd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447734009 NPPES
Florida MEDICAID FD337Z
Florida Other SZ8796

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