MEDICARE: AMELIA AUDIOLOGY

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

General Provider Information

NPI Number	:	1942537865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELIA AUDIOLOGY

Provider Business Mailing Address
First Line	:	1411 S 14TH ST STE F
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3092
Country	:	US
Telephone Number	:	904-491-1515
Fax Number	:	904-491-1513

Provider Business Practice Location Address
First Line	:	1411 S 14TH ST STE F
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3092
Country	:	US
Telephone Number	:	904-491-1515
Fax Number	:	904-491-1513

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER THOMAS BARNARD
Credential	:	AU.D.
Telephone Number	:	904-491-1515

Provider Enumeration Date	:	11/13/2009
Last Update Date	:	12/06/2023

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Directions to “AMELIA AUDIOLOGY ” Practice Location

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