| NPI | 1699096859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA PEAVY President 352-401-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6169) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |