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 |