NPI | 1073810347 |
---|---|
Entity Type | Organization |
Authorized Contact | URMIL KAMAL PAREKH Chief Operating Officer 904-465-3756 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL SA5993) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5993) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2011-06-10 |