| NPI | 1437578143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTIAN DERICKSON Owner 904-997-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY1834) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-06-25 |