Deaisa Bomort
NPI 1558035717 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1836 N Crystal Lake Dr
Lakeland, FL 33801 - Phone
- (863) 738-9493
- Organisation at this address
- Creative Speech Solutions
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida