Most Relevant Information
Provider Data
| NPI Number: | 1003463241 |
| Provider Name: | DEMELZA PENDARVIS-GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2019 |
| Last Updated: | 08/22/2019 |
Provider Practice Location
6508 GUNN HWY
TAMPA
FL
336254022
Practice Location Phone/Fax
| Phone: | 8139636923 |
| Fax: | 8132640768 |
Provider Mailing Location
6508 GUNN HWY
TAMPA
FL
336254022
Provider Mailing Phone/Fax
| Phone: | 8139636923 |
| Fax: | 8132640768 |