| NPI | 1366704504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG PAVONE Owner 239-218-0441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: FL AS3404) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2017-01-26 |