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ELYSE BROOKE AMIGO AU.D.

>> Audiologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1952659799

Individual Registrant:
 ELYSE BROOKE AMIGO AU.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1099 FLORIDA AVE S  ROCKLEDGE, FL 32955-2138 US
Tel: 321-632-6900  Fax: 321-639-7222

Contact information for business:
1099 FLORIDA AVE S  ROCKLEDGE, FL 32955-2138 US
Tel: 321-632-6900  Fax: 321-639-7222

Registration Information:
NPI: 1952659799
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y231H00000XSpeech, Language and Hearing Service Providers
Audiologist
FLAY1759

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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