| NPI | 1669989562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MADDEN BAUM Speech Language Pathologist 727-240-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA9459) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: FL 238357) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-04-22 |