| NPI | 1013446582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L REYES Insurance Billing Admin 386-983-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5247) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-03-08 |