| NPI | 1649448028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN BODINE Owner 863-644-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8267) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |