MEDICARE: ROBERT RANERE BC - HIS

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	AS-2770	FL

General Provider Information

NPI Number	:	1972702850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT RANERE BC - HIS

Provider Business Mailing Address
First Line	:	2905 N MILITARY TRL STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2921
Country	:	US
Telephone Number	:	561-689-0160
Fax Number	:	561-684-6229

Provider Business Practice Location Address
First Line	:	2905 N MILITARY TRL STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2921
Country	:	US
Telephone Number	:	561-689-0160
Fax Number	:	561-684-6229

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

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