| NPI | 1679819460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIEANN YIMOYINES Speech Language Pathologist 813-767-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11092) |
| Enumeration Date | 2012-12-24 |
| Last Update Date | 2012-12-24 |