| NPI | 1225189525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE GERRITS BROWN Administrator Owner 352-795-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCCR2624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-12-23 |