| NPI | 1760875678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEISHA WILBER VANAMBURG CEO 813-389-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6573) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SA 6573) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2022-10-17 |