| NPI | 1508002072 |
|---|---|
| Doing Business As | FAMILY ENT & AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID JOEL MALIS Manager 321-254-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME90348) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2014-04-18 |