MEDICARE: MEDX HEARING CENTER

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	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1699014993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDX HEARING CENTER

Provider Business Mailing Address
First Line	:	4665 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3800
Country	:	US
Telephone Number	:	561-638-4733
Fax Number	:	561-638-4734

Provider Business Practice Location Address
First Line	:	4665 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3800
Country	:	US
Telephone Number	:	561-638-4733
Fax Number	:	561-638-4734

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. MARK A FORSYTH
Credential	:	BCHIS
Telephone Number	:	561-638-4733

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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