MEDICARE: DAVID R COOVERT HAS

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	237600000X	Audiologist-Hearing Aid Fitter	AS4886	FL
2	237700000X	Hearing Instrument Specialist	AS 4886	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194192443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R COOVERT HAS

Provider Business Mailing Address
First Line	:	4600 SUMMERLIN RD STE C6
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3003
Country	:	US
Telephone Number	:	239-703-7546
Fax Number	:	239-339-9662

Provider Business Practice Location Address
First Line	:	4600 SUMMERLIN RD STE C6
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3003
Country	:	US
Telephone Number	:	239-703-7546
Fax Number	:	239-533-9966

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

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	07/23/2020

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Directions to “ DAVID R COOVERT HAS” Practice Location

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