Wellformed AI

NPI 1982596383 · live from the CMS NPI Registry

14 Fifty Corp

Speech-Language Pathologist, in Winter Springs, FL. National Provider Identifier 1982596383, active.

NPI record

NPI1982596383 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1073 Willa Springs Dr Ste 2045, Winter Springs, FL 32708
Practice phone407-906-0140
Mailing address1450 Chippewa Ln, Geneva, FL 32732
EnumeratedJuly 18, 2025
Last updatedJuly 19, 2025
Authorized officialSandra Tibaldeo, President

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.