MEDICARE: METAMPA, LLC

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

General Provider Information

NPI Number	:	1063990166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METAMPA, LLC

Provider Business Mailing Address
First Line	:	8300 CENTRAL PARK DR STE 100
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-6666
Country	:	US
Telephone Number	:	254-227-6825
Fax Number	:	254-300-4990

Provider Business Practice Location Address
First Line	:	9672 US HIGHWAY 19
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-4642
Country	:	US
Telephone Number	:	727-846-7474
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING SUPERVISOR
Name	:	DANA STEM
Credential	:
Telephone Number	:	254-307-3512

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	05/02/2025

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