| |
9190 Oakhurst Rd Ste 3, Seminole, FL 33776-2137 | |
(727) 304-5590 | |
(727) 291-0043 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 9190 Oakhurst Rd Ste 3, Seminole, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831840362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
9190 Oakhurst Rd Ste 3, Seminole, FL 33776-2137 Ph: (727) 304-5590 | 9190 Oakhurst Rd Ste 3, Seminole, FL 33776-2137 Ph: (727) 304-5590 |