| NPI | 1225440340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M QADRI Co Owner 352-817-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8897) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-08-05 |