Organization
KIDTALK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE JENNINGS (PRESIDENT)
(904) 964-4464
Entity
Organization
Contact information
Practice address
417 W CALL ST, STARKE, FL 32091-3115
(904) 964-4464
Mailing address
417 W CALL ST, STARKE, FL 32091-3115
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
11/07/2007
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