Organization
KIDOZ THERAPY ZONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ANN LOPEZ (ADMINISTRATOR)
(407) 250-0626
Entity
Organization
Contact information
Practice address
1024 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(407) 250-0626
Mailing address
1024 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(407) 250-0626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
10/09/2019
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