Individual
MR. DONALD MARK SUPERFINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1239 BLENHEM CT, WESLEY CHAPEL, FL 33543-3935
(813) 961-7996
Mailing address
1239 BLENHEM CT, WESLEY CHAPEL, FL 33543-3935
(813) 961-7996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA740
FL
Other
Enumeration date
03/01/2007
Last updated
07/09/2007
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