| NPI | 1366165607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JOY CLARK Business Owner/ Manager 941-786-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |