| NPI | 1326051079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. RUSSELL President 850-584-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: FL AY941) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |