| NPI | 1225363997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MARIA THOMAS Mbr 813-373-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3588) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2012-01-02 |