NPI | 1700012523 |
---|---|
Entity Type | Organization |
Authorized Contact | ELON N BRUNER Owner/ Speech Pathologist 352-368-7728 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5220) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-06-08 |