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Organization

ALL-STAR SPEECH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKY REALES M.S., CCC.SLP (OWNER)
(813) 418-2513
Entity
Organization

Contact information

Practice address
14111 FINSBURY DR, SPRING HILL, FL 34609-0786
(813) 418-2513
Mailing address
14111 FINSBURY DR, SPRING HILL, FL 34609-0786
(813) 418-2513

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13841
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558767079
FL
Enumeration date
12/17/2017
Last updated
12/17/2017
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