Provider Demographics
NPI:1063013233
Name:SERTOMA SPEECH & HEARING FOUNDATION OF FLORIDA INC
Entity Type:Organization
Organization Name:SERTOMA SPEECH & HEARING FOUNDATION OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-312-3881
Mailing Address - Street 1:6333 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2223
Mailing Address - Country:US
Mailing Address - Phone:727-312-3881
Mailing Address - Fax:727-807-6172
Practice Address - Street 1:6333 RIVER RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2223
Practice Address - Country:US
Practice Address - Phone:727-312-3881
Practice Address - Fax:727-807-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty