| NPI | 1790226934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY T. CROOKS General Manager 239-514-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL AS5193) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |