| First Coast Brain Builders, Llc | |
|
166 A1a N Ste 100, Ponte Vedra Beach, FL 32082-5701 | |
| (904) 501-2280 | |
| (855) 527-7300 |
| Full Name | First Coast Brain Builders, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 166 A1a N Ste 100, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558140863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Brain Builders, Llc 166 A1a N Ste 100, Ponte Vedra Beach, FL 32082-5701 Ph: (904) 501-2280 | First Coast Brain Builders, Llc 166 A1a N Ste 100, Ponte Vedra Beach, FL 32082-5701 Ph: (904) 501-2280 |
Dawn A. Mallard, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 880 A1a N, Ste 18a, Ponte Vedra Beach, FL 32082 Phone: 904-778-7501 Fax: 904-778-7504 | |
Ms. Lori Ann Watkins, MED CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 25 Arbor Club Dr Unit 106, Ponte Vedra Beach, FL 32082 Phone: 904-534-3952 | |
Alexa Elyse Stubenrauch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 178 Vista Grande Dr, Ponte Vedra Beach, FL 32082 Phone: 717-875-0962 | |
Amanda Lynn Pizzuto, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 Sawgrass Corners Dr Ste 117, Ponte Vedra Beach, FL 32082 Phone: 904-371-4649 | |
Brooke L Wilson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1143 Salt Creek Drive, Ponte Vedra Beach, FL 32082 Phone: 321-230-3800 | |
Shelley Marsh, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 178 Solano Cay Cir, Ponte Vedra Beach, FL 32082 Phone: 904-280-0338 Fax: 904-280-0338 | |
Mrs. Cynthia Smith, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Ponte Vedra Park Dr, Suite 800, Ponte Vedra Beach, FL 32082 Phone: 904-280-0081 Fax: 904-280-7680 |