| NPI | 1275334674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAYLA PATRICIA BUERGO Owner/Service Provider 305-927-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |