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NPI Code Detail

MEDICARE: MACY FRANKLIN ATC

MEDICARE: MACY FRANKLIN ATC
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
1235500000XSpeech/Language/Hearing Specialist/TechnologistAL5962FL

General Provider Information

NPI Number : 1265050926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACY FRANKLIN ATC
Provider Business Mailing Address
First Line : 4202 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33620-8000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4202 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33620-8000
Country : US
Telephone Number : 813-974-2125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 07/09/2020

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Directions to “ MACY FRANKLIN ATC” Practice Location

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