| NPI | 1053864256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY BOLITHO Sole Member 321-480-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SZ7214) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |