Organization
OTO-LOGIC SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENEE EVANS M.S. (AUDIOLOGIST/OWNER)
(727) 204-2982
Entity
Organization
Contact information
Practice address
360 6TH ST S, ST PETERSBURG, FL 33701-4449
(727) 204-2982
(727) 319-2781
Mailing address
9824 54TH AVE N, ST PETERSBURG, FL 33708-3708
(727) 204-2982
(727) 319-2781
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY754
FL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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