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NPI Code Detail

MEDICARE: MR. ROGER ALLEN THRONEBURG SR. B.C.H.A.S.

MEDICARE:  MR. ROGER ALLEN THRONEBURG SR. B.C.H.A.S.
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 SpecialistAS2937FL

General Provider Information

NPI Number : 1548402522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROGER ALLEN THRONEBURG SR. B.C.H.A.S.
Provider Business Mailing Address
First Line : 3944 S SUNCOAST BLVD
Second Line : SUITE 5
City : HOMOSASSA
State : FL
Zip : 34448-2601
Country : US
Telephone Number : 352-628-9909
Fax Number :
Provider Business Practice Location Address
First Line : 3944 S SUNCOAST BLVD
Second Line : SUITE 5
City : HOMOSASSA
State : FL
Zip : 34448-2601
Country : US
Telephone Number : 352-628-9909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2009
Last Update Date : 04/06/2009

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Directions to “ MR. ROGER ALLEN THRONEBURG SR. B.C.H.A.S.” Practice Location

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