| NPI | 1548508054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN WILSON Speech Language Pathologist/Manager 813-956-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA 6126) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |