| NPI | 1669746681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE STALKER Billing Specialist/Records Custodia 941-493-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY505) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-16 |