| Mrs Alla Fonseca, MA CCC-SLP | |
|
14 Woodford Ln, Palm Coast, FL 32164-7927 | |
| (917) 579-2964 | |
| Not Available |
| Full Name | Mrs Alla Fonseca |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 1 Years |
| Location | 14 Woodford Ln, Palm Coast, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841476314 | NPI | - | NPPES |
| 892483000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA7988 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sobe Innovative Rehabilitation Pllc | 4789994336 | 178 |
| Provider Name | Sobe Innovative Rehabilitation PLLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alla Fonseca, MA CCC-SLP 14 Woodford Ln, Palm Coast, FL 32164-7927 Ph: (917) 579-2964 | Mrs Alla Fonseca, MA CCC-SLP 14 Woodford Ln, Palm Coast, FL 32164-7927 Ph: (917) 579-2964 |
Rose Beaujour, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25 Pine Cone Dr, Palm Coast, FL 32164 Phone: 800-796-0923 Fax: 800-796-0926 |
Joanne Mcgunnigle Strickland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 386-446-6060 |
Ms. Emany Jenesis Desinor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 34 Rymer Ln, Palm Coast, FL 32164 Phone: 386-264-2808 |
Mrs. Katherine Love Timlin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL 32137 Phone: 386-503-4219 |
Ellen Kellogg, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 393 Palm Coast Pkwy Sw, Palm Coast, FL 32137 Phone: 585-202-2745 |
Claudia G Pierce, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 386-446-6060 |
Fluentpath Rehab Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 N Coopers Hawk Way, Palm Coast, FL 32164 Phone: 386-463-0101 |