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Speech therapy practice in Fort Myers, FL

NPI active

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Public-record details

Address
8359 Beacon Blvd Ste 512, Fort Myers, FL 33907
Phone
(786) 763-5493
Listed under
Speech therapy practices, Children's clinics (by name)
NPI
1104642628
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Speech-Language Pathologist (235Z00000X)
Authorized official
Pavel Manzanares Angulo, Owner
NPI first issued
Nov 30, 2024
NPI record last updated
Apr 26, 2026

NPI 1104642628 is active in the federal NPPES registry (CMS). Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Speech-language pathologists (SLPs) evaluate and treat speech sounds, language, stuttering, voice, and feeding and swallowing. Ask whether the clinic treats children and which ages.

View NPI 1104642628 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.

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