| NPI | 1831868454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERI L WINSTON COO 321-446-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 231H00000X Audiologist | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-10-01 |