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Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE MOORE PIKE SLP (OWNER; SPEECH/LANGUAGE PATHOLOGIST)
(813) 641-1212
Entity
Organization

Contact information

Practice address
817 BUNKER VIEW DR, APOLLO BEACH, FL 33572-2812
(813) 641-1212
(813) 645-7481
Mailing address
817 BUNKER VIEW DR, APOLLO BEACH, FL 33572-2812
(813) 641-1212

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2605
FL

Other

Enumeration date
04/19/2010
Last updated
04/26/2010
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