| NPI | 1588053946 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JULIE NORMAN Direct Owner 407-832-7395 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7070) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11247) | 
| Enumeration Date | 2015-01-22 | 
| Last Update Date | 2015-01-22 |