MEDICARE: CHARLES CASH 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	AS2408	FL
2	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1225306996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES CASH INC

Provider Business Mailing Address
First Line	:	1500 COLONIAL BLVD STE 104
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907
Country	:	US
Telephone Number	:	239-936-4656
Fax Number	:	239-936-4033

Provider Business Practice Location Address
First Line	:	1500 COLONIAL BLVD STE 104
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907
Country	:	US
Telephone Number	:	239-936-4656
Fax Number	:	239-936-4033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES E CASH
Credential	:	HAS, NBC-HIS
Telephone Number	:	239-936-4656

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	02/01/2018

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