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Organization
KIX4KIDSTHERAPY
Active
Organization
KIX4KIDSTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J RIDDLE (PRESIDENT)
(352) 585-5234
Entity
Organization
Contact information
Practice address
3381 MARINER BLVD, SPRING HILL, FL 34609-2461
(352) 585-5234
(352) 678-3730
Mailing address
3381 MARINER BLVD, SPRING HILL, FL 34609-2461
(352) 585-5234
(352) 678-3730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9778
FL
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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