Organization
PLAY PALS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON LUIS MORALES (OWNER)
(407) 668-8693
Entity
Organization
Contact information
Practice address
111 LA MIRAGE ST, DAVENPORT, FL 33897-6906
(407) 668-8693
Mailing address
111 LA MIRAGE ST, DAVENPORT, FL 33897-6906
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI 1981
FL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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