| NPI | 1255698643 |
|---|---|
| Doing Business As | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | ANN E HENNESSY Owner 850-942-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY724) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2013-12-03 |