| NPI | 1003118142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE P KING Speech Language Pathologist 813-924-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5168) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2014-06-23 |