| NPI | 1679114524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE C CORNWELL Owner 941-718-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |