Organization
BRENDA LIZ DE JESUS VEGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LIZ DE JESUS VEGA MSSLP-CCC (SPEECH AND LANGUAGE PATHOLOGY)
(407) 779-2419
Entity
Organization
Contact information
Practice address
6062 TIVOLI GARDENS BLVD, ORLANDO, FL 32829-7702
(407) 779-2419
Mailing address
6062 TIVOLI GARDENS BLVD, ORLANDO, FL 32829-7702
(407) 779-2419
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SZ5973
FL
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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