| NPI | 1134475882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN WAGNER Owner 941-708-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS913) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |