| NPI | 1699616987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA COLLETTE COLEMAN Speech Language Pathologist 321-505-2893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-04-02 |