Individual
BROOKE VITA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
9732 COMMERCE CENTER CT, UNIT A, FORT MYERS, FL 33908-3647
(239) 332-0707
Mailing address
744 CORAL DR, CAPE CORAL, FL 33904-5901
(239) 542-6732
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S9121
BCBS
FL
Enumeration date
03/27/2007
Last updated
07/08/2007
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