| NPI | 1104458082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL VARON Speech Language Pathologist 786-447-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-19 |