| NPI | 1174222111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MILLER Speech Language Pathologist 850-625-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |