MEDICARE: ADVANCED HEARING GROUP, 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	231H00000X	Audiologist
2	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1255636098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEARING GROUP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 350086
Second Line	:
City	:	GRAND ISLAND
State	:	FL
Zip	:	32735-0086
Country	:	US
Telephone Number	:	352-873-1722
Fax Number	:	352-873-1622

Provider Business Practice Location Address
First Line	:	8602 SW HIGHWAY 200 STE E
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34481-7808
Country	:	US
Telephone Number	:	352-873-1722
Fax Number	:	352-873-1622

Authorized Official
Title or Position	:	MGR MEMBER
Name	:	MR. ANDRE J SCHMALENBERGER
Credential	:
Telephone Number	:	352-873-1722

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	01/25/2011

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