Individual
DAISY VYVIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
8100 SW 10TH ST, PLANTATION, FL 33324
(318) 813-2698
Mailing address
8100 SW 10TH ST, PLANTATION, FL 33324-3279
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2210
FL
237600000X
Audiologist-Hearing Aid Fitter
7359
LA
Other
Enumeration date
10/08/2015
Last updated
08/23/2018
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