| Wonderland Speech & Behavior Corp | |
|
6300 Corporate Ct Ste 102 Fort Myers FL 33919-3513 | |
| (786) 718-7673 | |
| (239) 257-1970 |
| Full Name | Wonderland Speech & Behavior Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 6300 Corporate Ct Ste 102, Fort Myers, Florida |
| Authorized Official Name and Position | Gelsy Amores Hawkins (PRESIDENT) |
| Authorized Official Contact | 7867187673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderland Speech & Behavior Corp 6300 Corporate Ct Ste 102 Fort Myers FL 33919-3513 Ph: (786) 718-7673 | Wonderland Speech & Behavior Corp 6300 Corporate Ct Ste 102 Fort Myers FL 33919-3513 Ph: (786) 718-7673 |
| NPI Number | 1689397903 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Medicare PECOS PAC ID | 6103319272 |
|---|---|
| Medicare Enrollment ID | O20251205003442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689397903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Ariacna De La Caridad Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063149854 PECOS PAC ID: 5597113852 Enrollment ID: I20231127002170 |
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