| NPI | 1710255492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC H MITNICK Pres 954-778-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2045) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2012-06-04 |