| Organization Name: | THERAKIDS |
| NPI Number: | 1700012523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELON N BRUNER (OWNER/ SPEECH PATHOLOGIST) |
| Mailing Address: | 1325 Se 25th Loop Ste 102 Ocala |
| State: | FL US |
| Postal Code: | 344716090 |
| Phone Number: | 3523687728 |
| Fax Number: | 3523683808 |
| NPI Enumeration Date: | 06/08/2009 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA5220 |
| 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 |