| NPI | 1548404312 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANA MARIE MERRITT Speech Language Pathologist 904-721-4122 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 726) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 13759) | 
| Enumeration Date | 2009-04-23 | 
| Last Update Date | 2014-04-08 |