Organization
RAINBOW RIVER HEARING & BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA NICOLE GASCAY AUD (AUDIOLOGIST/PRESIDENT)
(352) 462-7003
Entity
Organization
Contact information
Practice address
20170 E PENNSYLVANIA AVE, DUNNELLON, FL 34432-6032
(352) 462-7003
(352) 496-3053
Mailing address
PO BOX 3293, DUNNELLON, FL 34430-3293
(352) 462-7003
(833) 252-6409
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2077
FL
Other
Enumeration date
04/05/2018
Last updated
12/13/2023
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