Individual
GLADYS D DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13139 W LINEBAUGH AVE, SUITE 201, TAMPA, FL 33626-4498
(813) 932-3013
(813) 932-3016
Mailing address
10604 FAIRFIELD VILLAGE DR, TAMPA, FL 33624-5079
(813) 968-4861
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SI 1416
FL
Other
Enumeration date
03/18/2011
Last updated
03/12/2012
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