Organization
BEVERLY BOAS, MS, CCC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINNE JONES (DIRECTOR)
(813) 964-8481
Entity
Organization
Contact information
Practice address
16546 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 964-8481
Mailing address
13611 WATERFALL WAY, TAMPA, FL 33624-6965
(813) 964-8481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/22/2007
Last updated
08/22/2020
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