| NPI | 1801214929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA M GUERRA Mgr 786-712-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 12772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 12780) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SA 12662) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-05-20 |