| NPI | 1073654547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE DAVIS Owner 727-375-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5926) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-04-29 |