Organization
PEGLAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY LARSON M.S., CCC-SLP (SLP)
(561) 603-4958
Entity
Organization
Contact information
Practice address
1709 GOLDEN LAKE LOOP, SAINT AUGUSTINE, FL 32084-5898
(561) 603-4958
Mailing address
1709 GOLDEN LAKE LOOP, SAINT AUGUSTINE, FL 32084-5898
(561) 603-4958
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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