Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Speech Therapy

Organization Speech-Language Pathologist · NPI 1568614642

Atlantic Speech Therapy is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2

Practice location Address checks out

11512 Lake Mead Ave Ste 604
Jacksonville, FL 32256
Phone: (904) 652-5408
Fax: (877) 652-5052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA5968 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SA9598 (FL)

Record details

NPI number1568614642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Otto — Owner/Director · (904) 652-5408
NPI enumeratedOctober 21, 2008
Last updated in NPPESMarch 23, 2015
Mailing address11512 Lake Mead Ave., Suite 604, Jacksonville, FL 32256

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