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

Organization Speech-Language Pathologist · NPI 1114360039

Premier Pediatric Therapy, PA is a Speech-Language Pathologist in Jupiter, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1080 E Indiantown Rd Ste 104
Jupiter, FL 33477-5188
Phone: (561) 670-4864
Fax: (561) 258-0812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA8369 (FL)

Record details

NPI number1114360039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Mac — Speech-Language Pathologist · (561) 670-4864
NPI enumeratedApril 10, 2013
Last updated in NPPESJanuary 18, 2016
Mailing address1080 E Indiantown Rd Ste 104, Jupiter, FL 33477-5188

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