| NPI | 1629089701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ALBERTO CACERES President / Physician 205-424-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AL 572-a) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-06-09 |