Individual
ELYSE BROOKE AMIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1099 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-6900
(321) 639-7222
Mailing address
1099 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-6900
(321) 639-7222
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1759
FL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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