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Individual

ANTONINA E ALAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS-CCC-SLP

Contact information

Practice address
1060 W STATE ROAD 434, STE 108, LONGWOOD, FL 32750-4919
(407) 260-0551
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11161
FL

Other

Enumeration date
04/04/2011
Last updated
07/21/2021
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