| NPI | 1407215338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LYNN BUSSEY Owner 904-304-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA12010) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |