Anthony David Wildfong
Speech-Language Pathologist • Titusville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anthony Wildfong has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Anthony Wildfong was a registered Speech-Language Pathologist practicing in Titusville, FL. Throughout an active medical career spanning 3 years, Anthony Wildfong provided care at the practice location at 1550 JESS PARRISH CT until profile deactivation on 2026-05-07.
Practice Location & Contact Primary Location
1550 Jess Parrish Ct
Titusville, FL 327962147
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Titusville, FL
Practicing in Titusville, FL (11640 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapy Assistant
Physical Therapist Assistant
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapy Assistant
Occupational Therapist
Occupational Therapist Registered
Physical Therapy Assistant
Physical Therapist Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 07, 2026
NPI status registered as active in NPPES database
Registered at 1550 JESS PARRISH CT, TITUSVILLE, FL 327962147 (Tel: 3212692200)
Registered at 126 HIGHLAND ST, COCOA, FL 329227523 (Tel: 2565509696)
Recorded as ANTHONY WILDFONG
Speech-Language Pathologist (License #4122 in AL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
126 Highland St
Cocoa, FL 329227523
Phone: 2565509696
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