Individual
ANNALISA DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 583-5070
Mailing address
5508 WATERSIDE LOOP APT 308, LAKELAND, FL 33805-9652
(508) 339-0814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628
DEPARTMENT OF HEALTH
—
Enumeration date
01/19/2023
Last updated
01/19/2023
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