NPI | 1568950004 |
---|---|
Entity Type | Organization |
Authorized Contact | LUZ ESMERALDA GAONA CEO 813-323-5783 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13354) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2021-09-23 |