| NPI | 1891704961 |
|---|---|
| Doing Business As | SOUTHGATE HEARING CLINIC |
| Entity Type | Organization |
| Authorized Contact | LYDIA GLADWIN President 727-849-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1140) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2020-08-22 |