| NPI | 1346588191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD FONDER Owner 941-257-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AS4425) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |