| NPI | 1306043435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MERCHANT Manager 352-401-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7027) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-09-14 |