| Suncoast Pediatric Therapy Llc | |
|
16748 Fairbolt Way, Odessa, FL 33556-6031 | |
| (912) 674-9776 | |
| Not Available |
| Full Name | Suncoast Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 16748 Fairbolt Way, Odessa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184376386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Pediatric Therapy Llc 16748 Fairbolt Way, Odessa, FL 33556-6031 Ph: (912) 674-9776 | Suncoast Pediatric Therapy Llc 16748 Fairbolt Way, Odessa, FL 33556-6031 Ph: (912) 674-9776 |
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