| NPI | 1508483322 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARGARET DONAKER Speech Language Pathologist 941-777-0876 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2020-06-27 | 
| Last Update Date | 2020-06-27 |