| NPI | 1396991949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ELLEN TANNER Audiologist/Owner 813-315-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY-1204) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-01-22 |