| Doctor Name: | MRS. JODI ANN ANTONINI |
| NPI Number: | 1194805317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | SA7192 |
| Business Practice Address: | 6738 W Sunrise Blvd Sutie 107 Plantation, FL - 333136070 |
| Business Phone Number: | 9545871210 |
| Business Fax Number: | |
| Mailing Address: | 10430 Nw 49th Pl, CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330761734 |
| Phone Number: | 9548185433 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 12/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA7192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |