| NPI | 1972747194 |
|---|---|
| Other Name | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | NAN B HICKS President 850-650-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4134) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AL 2199) |
| 237700000X Hearing Instrument Specialist (Licence: AL 2177) | |
| 237700000X Hearing Instrument Specialist (Licence: AL 4153) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |