| NPI | 1598541542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY C CORONADO Speech Language Pathologist 407-375-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |