14 Fifty Corp
Speech-Language Pathologist, in Winter Springs, FL. Organization (NPI-2).
Details
- NPI
- 1982596383
- Entity type
- Organization (NPI-2)
- Legal business name
- 14 Fifty Corp
- Organization subpart
- No
- Enumeration date
- Jul 18, 2025
- Certification date
- Jul 19, 2025
- Last updated
- Jul 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1073 Willa Springs Dr Ste 2045Winter Springs, FL 32708-6625
Phone 407-906-0140 · Fax 800-826-9197
Mailing address
1450 Chippewa LnGeneva, FL 32732-9183
Phone 407-906-0140 · Fax 800-826-9197
Authorized official
Sandra Tibaldeo
President
4079060140
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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