Organization
TAMMY KALIKO WILLINGHAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY KALIKO WILLINGHAM MA/SLP/CCC (PRESIDENT)
(321) 984-2789
Entity
Organization
Contact information
Practice address
151 TERRACE SHORES DR, INDIALANTIC, FL 32903-2705
(321) 984-2789
Mailing address
151 TERRACE SHORES DR, INDIALANTIC, FL 32903-2705
(321) 984-2789
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
SA8192
FL
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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