| NPI | 1194265710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE WITT Admin Manager 352-585-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11458) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-10-01 |