| Kimberly Council, SLP | |
|
190 Southpark Blvd Ste 100, St Augustine, FL 32086-4209 | |
| (904) 824-1478 | |
| Not Available |
| Full Name | Kimberly Council |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 190 Southpark Blvd Ste 100, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437869781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA10077 (Florida) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
| Provider Name | Rww Senior Living Outpatient Rehab Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811735996 PECOS PAC ID: 2163954314 Enrollment ID: O20241030004382 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Council, SLP 107 Wild Rose Dr, Saint Johns, FL 32259-8470 Ph: (706) 540-9051 | Kimberly Council, SLP 190 Southpark Blvd Ste 100, St Augustine, FL 32086-4209 Ph: (904) 824-1478 |
Kristin Bowman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092 Phone: 904-230-7761 Fax: 904-230-7763 | |
Benjamin Manning, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 | |
Pamela P Crawford, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Sarto Ct, St Augustine, FL 32086 Phone: 904-797-6405 | |
Julia Affronti, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092 Phone: 904-328-7489 | |
Dianne Roosen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Coleman Dr, St Augustine, FL 32084 Phone: 727-967-1036 | |
Haley Rose Schubert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092 Phone: 904-328-7489 | |
Caitlin Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 |