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Individual

BREANNA SHANTEL ZURITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 LAKE ELLENOR DR STE 261, ORLANDO, FL 32809-4638
(407) 968-7807
Mailing address
4401 W KNOX ST, TAMPA, FL 33614-3612
(813) 999-6051

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6583
FL

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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