| NPI | 1003511494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY DAVIES Admin 813-702-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2025-02-04 |