Healthcare Provider Details

I. General information

NPI: 1982037305
Provider Name (Legal Business Name): EMILY ANN GAINES AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY SILCOX (MAIDEN)

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SW 12TH ST STE C201
OCALA FL
34471-6521
US

IV. Provider business mailing address

PO BOX 100174
GAINESVILLE FL
32610-0174
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-3977
  • Fax:
Mailing address:
  • Phone: 352-351-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1691
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1806
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: