| NPI | 1831203611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE COWAN-OBERBECK Audiologist 321-752-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 145) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-08-27 |