| NPI | 1942322623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJA LYNN KRYWKO Vice President 941-747-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: FL AY549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2294) |
| 237700000X Hearing Instrument Specialist (Licence: FL AS0002378) | |
| 237700000X Hearing Instrument Specialist (Licence: FL AS0002885) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |