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Organization
SPEECH PATHOLOGY AND REHABILIATION CENTER
Active
Organization
SPEECH PATHOLOGY AND REHABILIATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE G RUIZ CCC-SLP (OWNER)
(352) 682-6195
Entity
Organization
Contact information
Practice address
2208 LOBLOLLY BAY ST, CLERMONT, FL 34711-9562
(352) 682-6195
Mailing address
2208 LOBLOLLY BAY ST, CLERMONT, FL 34711-9562
(352) 682-6195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/07/2020
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