| NPI | 1396299780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEE L ELLIOTT President 352-246-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14625) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-10-11 |