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NPI Code Detail

MEDICARE: ROSS WAYNE HIATT HIS

MEDICARE:   ROSS WAYNE HIATT  HIS
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
1237700000XHearing Instrument SpecialistAS5797FL

General Provider Information

NPI Number : 1295594125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS WAYNE HIATT HIS
Provider Business Mailing Address
First Line : 6239 FORT KING RD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2530
Country : US
Telephone Number : 813-788-7833
Fax Number :
Provider Business Practice Location Address
First Line : 6239 FORT KING RD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2530
Country : US
Telephone Number : 813-788-7833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “ ROSS WAYNE HIATT HIS” Practice Location

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