| NPI | 1609949577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA DIXON-WOOD Speech Language Pathologist 352-392-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA529) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |