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NPI Code Detail

MEDICARE: MARYANN HENRY HAS

MEDICARE: MARYANN HENRY HAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistAS5415FL

General Provider Information

NPI Number : 1063974327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN HENRY HAS
Provider Business Mailing Address
First Line : 2242 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6184
Country : US
Telephone Number : 954-227-4618
Fax Number :
Provider Business Practice Location Address
First Line : 2242 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6184
Country : US
Telephone Number : 954-227-4618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 06/11/2019

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Directions to “ MARYANN HENRY HAS” Practice Location

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