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Organization
PREMIER DYSPHAGIA MANAGEMENT, INC
Active
Organization
PREMIER DYSPHAGIA MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY TEASE (S,T)
(407) 695-8585
Entity
Organization
Contact information
Practice address
218 RINGWOOD DR, WINTER SPRINGS, FL 32708-4945
(407) 695-8585
(407) 695-8585
Mailing address
218 RINGWOOD DR, WINTER SPRINGS, FL 32708-4945
(407) 695-8585
(407) 695-8585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA2695
FL
235Z00000X
Speech-Language Pathologist
Primary
SA4443
FL
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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