Individual
AUSTIN ALLEN EKONOMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1357 NW SAINT LUCIE WEST BLVD STE B, PORT SAINT LUCIE, FL 34986-1926
(772) 878-5534
Mailing address
1432 PARKWAY DR APT 7B, MELBOURNE, FL 32935-6238
(321) 543-4535
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AST1272
FL
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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