MEDICARE: TERREZZA'S DIGITAL HEARING INSTRUMENTS, INC.

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	:	1407024656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERREZZA'S DIGITAL HEARING INSTRUMENTS, INC.

Provider Business Mailing Address
First Line	:	5593 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-983-8447
Fax Number	:	850-983-8418

Provider Business Practice Location Address
First Line	:	5593 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-983-8447
Fax Number	:	850-983-8418

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GENE TERREZZA
Credential	:	O.D.
Telephone Number	:	850-983-8447

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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