Individual
ILONA GOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5800 GOLF CLUB PKWY, ORLANDO, FL 32808-4800
(407) 299-5553
Mailing address
2339 RIVER PARK CIR, APT. 1511, ORLANDO, FL 32817-4884
(772) 579-8404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410600
—
FL
Enumeration date
09/11/2009
Last updated
02/04/2011
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