Individual provider · Type 1 NPI

Mikaila Angeli-Olmedo Mangubat

Speech-Language Pathologist · Jacksonville, FL

NPI number 1699697367 Active

Practice location

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Call (904) 886-3228 Map

Fax (904) 485-8876

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1699697367

Mikaila Angeli-Olmedo Mangubat's National Provider Identifier is 1699697367, issued on Jul 27, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 27, 2026.