Provider Demographics
NPI:1588869564
Name:ALLMARES, JULIE (SLP)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:
Last Name:ALLMARES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 N WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4937
Mailing Address - Country:US
Mailing Address - Phone:407-832-7395
Mailing Address - Fax:407-302-4274
Practice Address - Street 1:2506 N WESTMORELAND DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4937
Practice Address - Country:US
Practice Address - Phone:407-832-7395
Practice Address - Fax:407-302-4274
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7070235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88763550Medicaid