| NPI | 1326357542 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WENDY WILKES Speech Language Pathologist 727-698-1889  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2010-10-05 | 
| Last Update Date | 2010-10-05 |