| NPI | 1760629505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BREAKSTONE Owner 239-495-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: FL AS3776) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-08-04 |