| NPI | 1902123672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE COPPLE President 863-409-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 5861) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-05-09 |