| NPI | 1861886863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK ALEXANDER WINN Hearing Aid Specialist 239-560-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL A.S.4794) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |