Individual provider · Type 1 NPI

Laurisa Medina

Speech-Language Assistant · St. Cloud, FL

NPI number 1487550604 Active

Practice location

2301 13th St
St. Cloud, FL 34769-4124

Mailing address

2571 Tanner Ter
Kissimmee, FL 34743-6118

Other practice locations

  • 819 E Oak St Ste A, Kissimmee, FL 34744-5842 · (407) 913-1010

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X8934 (FL)

Speech-Language Assistant: Definition to come...

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About NPI 1487550604

Laurisa Medina's National Provider Identifier is 1487550604, issued on Oct 15, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in St. Cloud, FL. The record was last updated on Oct 15, 2026.