Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alla Fonseca, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1841476314

Mrs. Alla Fonseca, MACCC-SLP is a Qualified Speech Language Pathologist in Palm Coast, Florida. Qualified in 2025, 1 year ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2008
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Practice location Address checks out

14 Woodford Ln
Palm Coast, FL 32164-7927
Phone: (917) 579-2964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Chatsworth Dr, Saint Johns, FL 32259-7221 — (917) 579-2964

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA7988 (FL)

Record details

NPI number1841476314
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 15, 2008
Last updated in NPPESApril 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palm Coast