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Organization
JMB SPEECH LANGUAGE AND PATHOLOGY SERVICES, INC
Active
Organization
JMB SPEECH LANGUAGE AND PATHOLOGY SERVICES, INC
Active
Parent organization
JMB SPEECH LANGUAGE AND PATHOLOGY SERVICES, INC
Other names
Jeanne M. Barth Speech Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
JMB SPEECH LANGUAGE AND PATHOLOGY SERVICES, INC
Authorized official
MR. EVERETT IVAN NICELY (BUSINESS MGR.)
(813) 930-0197
Entity
Organization
Contact information
Practice address
3902 W HAMILTON AVE STE 3, TAMPA, FL 33614
(813) 930-0197
(818) 930-0197
Mailing address
3902 W HAMILTON AVE STE 3, TAMPA, FL 33614
(813) 930-0197
(813) 930-2426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686948396
—
FL
05
—
880866000
—
FL
Enumeration date
05/21/2007
Last updated
06/03/2021
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