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Organization
SUPERIOR SPEECH THERAPY SERVICES, LLC
Active
Organization
SUPERIOR SPEECH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA P BREWER M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(813) 719-0130
Entity
Organization
Contact information
Practice address
15614 MLK BLVD STE A, DOVER, FL 33527-4213
(813) 719-0130
Mailing address
5306 LENOIR CT, PLANT CITY, FL 33566-8093
(813) 719-0130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110513700
—
FL
Enumeration date
03/01/2021
Last updated
01/02/2022
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