| NPI | 1003928763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BOOHER Director/Audiologist 813-870-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY193) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY394) |
| 231H00000X Audiologist (Licence: FL AY832) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-09-07 |