| NPI | 1194923268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA E HECKSTALL Director Of Operations 305-854-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA606) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI1035) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2026-03-11 |