Organization
CRYSTAL CLEAR HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER ALEXANDER RODRIGUEZ MBA (OWNER)
(305) 216-1718
Entity
Organization
Contact information
Practice address
11342 QUAIL ROOST DR, MIAMI, FL 33157-6567
(305) 235-4035
(305) 235-7298
Mailing address
11342 QUAIL ROOST DR, MIAMI, FL 33157-6567
(305) 235-4035
(305) 235-7298
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
AS1884
FL
332S00000X
Hearing Aid Equipment
AS4846
FL
Other
Enumeration date
06/18/2009
Last updated
04/27/2012
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