Organization Name: | PEDIATRIA HEALTHCARE, LLC |
NPI Number: | 1255583993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN ELIZABETH DIGNAN (GENERAL COUNSEL) |
Mailing Address: | 1236 Blountstown Hwy Building 5 Tallahassee |
State: | FL US |
Postal Code: | 323042715 |
Phone Number: | 8507013920 |
Fax Number: | 8507013924 |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |