MEDICARE: ELVERA BADER AU.D.

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	231H00000X	Audiologist	AY2703	FL

General Provider Information

NPI Number	:	1578929691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELVERA BADER AU.D.

Provider Business Mailing Address
First Line	:	6376 PINE RIDGE RD UNIT 450
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3928
Country	:	US
Telephone Number	:	239-514-2419
Fax Number	:	239-514-2280

Provider Business Practice Location Address
First Line	:	6376 PINE RIDGE RD UNIT 450
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3928
Country	:	US
Telephone Number	:	239-514-2419
Fax Number	:	239-514-2280

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

Provider Enumeration Date	:	01/05/2016
Last Update Date	:	11/05/2025

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