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Individual

MISS EMMA VIKTORIA FOGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CF-SLP

Contact information

Practice address
2111 W SWANN AVE, TAMPA, FL 33606-2477
(813) 254-7227
Mailing address
614 1/2 S NEWPORT AVE, TAMPA, FL 33606-2622
(832) 683-6537

Taxonomy

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

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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