| NPI | 1427396472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM MANRIQUE Manager 305-467-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11495) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-01-26 |