NPI | 1841561305 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE FULLER Clincial Director 407-703-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7338) |
Enumeration Date | 2012-01-14 |
Last Update Date | 2023-11-02 |