| NPI | 1114253382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN L BENNETT President 727-504-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6805) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |