| NPI | 1154699825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD PAYNE Owner/Provider 850-640-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS 436) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-05-17 |