| NPI | 1619158433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES JELLEY Audiologist/President 954-227-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY0000672) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |