| NPI | 1932877727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CHRISTINE HELMINTOLLER Owner/Operator 321-961-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |