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Organization
TAMPA BAY SPEECH SERVICES, LLC
Active
Organization
TAMPA BAY SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA PADILLA MS, CCC-SLP (PRESIDENT)
(813) 835-6085
Entity
Organization
Contact information
Practice address
4223 W SAN LUIS ST, TAMPA, FL 33629-7717
(813) 835-6085
Mailing address
4223 W SAN LUIS ST, TAMPA, FL 33629-7717
(813) 835-6085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890791900
—
FL
Enumeration date
06/15/2007
Last updated
06/30/2008
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