Individual
JEANA HIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 N ROCKY POINT DR W, SUITE 150, TAMPA, FL 33607-5803
(954) 603-7885
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SI2677
FL
Other
Enumeration date
09/23/2015
Last updated
10/20/2015
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