| NPI | 1528275328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J. FAVARO Audiologist 386-299-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: FL ay216) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |