Individual
DAYLISE ALLEN-POLIDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6409
(813) 848-0341
Mailing address
9827 MONTAGUE ST, TAMPA, FL 33626-1863
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI6976
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ13320
FL
Other
Enumeration date
03/25/2024
Last updated
06/10/2026
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