| NPI | 1942517636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J RIDDLE President 352-585-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9778) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |