| NPI | 1962357855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE MEDINA HIDALGO Clinical Director 407-675-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |