MEDICARE: HEARING CARE RESOURCES, INC.

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
1	261QH0700X	Hearing and Speech Clinic/Center	06-03205	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J0828	OTHER	FL	BC/BS FLORIDA PROVIDER NO

General Provider Information

NPI Number	:	1073582060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING CARE RESOURCES, INC.

Provider Business Mailing Address
First Line	:	132 SW COLUMBIA AVE
Second Line	:	SUITE 101
City	:	LAKE CITY
State	:	FL
Zip	:	32025-4301
Country	:	US
Telephone Number	:	386-754-6711
Fax Number	:	386-754-6713

Provider Business Practice Location Address
First Line	:	132 SW COLUMBIA AVE
Second Line	:	SUITE 101
City	:	LAKE CITY
State	:	FL
Zip	:	32025-4301
Country	:	US
Telephone Number	:	386-754-6711
Fax Number	:	386-754-6713

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KENDALL P VARNEY
Credential	:	M.S., AUD
Telephone Number	:	386-754-6711

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	11/04/2008

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Directions to “HEARING CARE RESOURCES, INC. ” Practice Location

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