Individual
MRS. CONNIE MOORE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
817 BUNKER VIEW DR, APOLLO BEACH, FL 33572-2812
(813) 641-1212
(813) 645-7481
Mailing address
817 BUNKER VIEW DR, APOLLO BEACH, FL 33572-2812
(813) 641-1212
(813) 645-7481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8816522
—
FL
Enumeration date
07/23/2006
Last updated
07/09/2007
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