| NPI | 1851767586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MCMULLEN Speech Language Pathologist 321-287-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA13731) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-11-02 |