Individual
SHERRY RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 E FOWLER AVE, TAMPA, FL 33620-4619
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
114521
MO
231H00000X
Audiologist
1512
KS
231H00000X
Audiologist
Primary
AY2702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118357600
—
FL
05
—
200375370A
—
KS
05
—
330709809
—
MO
01
—
B8P6D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/27/2006
Last updated
07/17/2023
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