Provider Demographics
NPI:1053489328
Name:DIMANT, BRIDGETT ELAINE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRIDGETT
Middle Name:ELAINE
Last Name:DIMANT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13750 W COLONIAL DR STE 350-121
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4204
Mailing Address - Country:US
Mailing Address - Phone:407-285-7907
Mailing Address - Fax:407-992-9368
Practice Address - Street 1:13750 W COLONIAL DR STE 350-121
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4204
Practice Address - Country:US
Practice Address - Phone:407-285-7907
Practice Address - Fax:407-992-9368
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
FLSZ 3968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010665400Medicaid
FL890306900Medicaid