| NPI | 1750893491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILDA L OSUNFISAN Director 954-557-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL SA15837) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-06-20 |