| NPI | 1053821447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS A JIMENEZ Owner 786-269-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |