| NPI | 1770015455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO MONICA DE AVILA Speech Language Pathologist 954-529-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 13501) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |