| NPI | 1114256732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT TIMKO Sole Member 386-736-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL AY393) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: FL AY393) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2021-12-30 |