MEDICARE: ADAM WOODARD 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
1	237700000X	Hearing Instrument Specialist	AS5247	FL

General Provider Information

NPI Number	:	1568992881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM WOODARD H.A.S.

Provider Business Mailing Address
First Line	:	5833 ARGERIAN DR STE 101
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4164
Country	:	US
Telephone Number	:	813-388-2440
Fax Number	:

Provider Business Practice Location Address
First Line	:	5833 ARGERIAN DR STE 101
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4164
Country	:	US
Telephone Number	:	813-388-2440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	06/19/2017

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