| NPI | 1194912329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LANE HOOPER Owner/Audiologist 239-275-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY248) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |