| NPI | 1235529025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA DEVORE Audiologist 407-260-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1457) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: FL AY1457) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2019-02-23 |