| NPI | 1104430321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J WILLIAMS Speech Language Pathologist 813-380-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |