NPI | 1174834303 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN MERCHANT President 352-401-7916 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7027) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2010-06-22 |