JILL SUZANNE LANE

DAVIE, FL
NPI1689787624
Former NameJILL SUZANNE GOMEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  sa7798)
Enumeration Date2006-08-16
Last Update Date2017-10-17
Business Address
Ms. JILL SUZANNE LANE MS CCC-SLP
5451 DAVIE ROAD
DAVIE, FL 33314
Phone number: 954-290-4277
Mailing Address
Ms. JILL SUZANNE LANE MS CCC-SLP
995 SW 147 AVE
PEMBROKE PINES, FL 33027
Phone number: 954-290-4277