| NPI | 1598412470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN HERRMANN DECELLES Owner 813-751-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2025-08-04 |