| NPI | 1588906176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI SCHNEIDER Owner 863-647-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME47652) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0054874) |
| 231H00000X Audiologist (Licence: FL AY1203) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-08-21 |