# TAMMY KALIKO WILLINGHAM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265668511
- **Authorized official:** MS. TAMMY KALIKO WILLINGHAM MA/SLP/CCC (PRESIDENT)
- **Authorized official phone:** (321) 984-2789

## Contact information

- **Practice address:** 151 TERRACE SHORES DR, INDIALANTIC, FL 32903-2705
- **Practice address phone:** (321) 984-2789
- **Mailing address:** 151 TERRACE SHORES DR, INDIALANTIC, FL 32903-2705
- **Mailing address phone:** (321) 984-2789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | SA8192 | FL | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 06/01/2009