| 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 |