Most Relevant Information
Provider Data
| NPI Number: | 1003045253 |
| Provider Name: | STEPHANIE MADILL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SZ4796 |
Most Important Dates
| Enumeration Date: | 07/09/2009 |
| Last Updated: | 07/09/2009 |
Provider Practice Location
602 VONDERBURG DR
SUITE 201
BRANDON
FL
335115900
Practice Location Phone/Fax
| Phone: | 8136531149 |
| Fax: | 8136546644 |
Provider Mailing Location
602 VONDERBURG DR
SUITE 201
BRANDON
FL
335115900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |