| NPI | 1730556770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIA WEBER Speech Pathologist Assistant 386-882-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SI 2640) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |