| NPI | 1689176562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FREDRICKS President 321-340-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15171) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-03-20 |