| NPI | 1790907145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN S RIERSON Business Manager 352-351-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL SA1494) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-09-25 |