| NPI | 1366751885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JACKMAN P 407-329-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa7486) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-06-07 |