| NPI | 1104354224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY EREZ Owner 954-803-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL SA15420) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15420) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |