| NPI | 1568542637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J SHELBY Clinical Dir, Pres. 727-525-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY181) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA624) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |