Organization
FLORIDA ATLANTIC UNIVERSITY
Active
Other names
College of Education Communications and Speech Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA PONTIROLI-KELLY (AUTHORIZED OFFICIAL)
(561) 297-2897
Entity
Organization
Contact information
Practice address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-0777
Mailing address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-0777
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
04/15/2023
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