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Organization
FLORIDA ATLANTIC UNIVERSITY
Active
Organization
FLORIDA ATLANTIC UNIVERSITY
Active
Other names
College of Education Communications and Speech Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA PONTIROLI-KELLY (AUTHORIZED OFFICIAL)
(561) 297-2897
Entity
Organization
Contact information
Practice address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-0777
Mailing address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-0777
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
04/15/2023
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