| NPI | 1043820368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED ZUSSELLY MCILWAIN Speech Language Pathologist 850-696-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-11-30 |