| NPI | 1215247333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GAYLE MARDJETKO Speech Language Pathologist 727-378-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2502) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |