Individual
STACEE OMMUNDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 COLONIAL BLVD, FORT MYERS, FL 33966-1017
(239) 931-5700
Mailing address
4550 COLONIAL BLVD, FORT MYERS, FL 33966-1017
(239) 931-5700
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AZ667
FL
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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