| NPI | 1487116448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL A WATTS COO 813-571-7184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |