| NPI | 1588019160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENNILLE JOPLIN Administrator 813-391-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6914) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |