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NPI Code Detail

MEDICARE: JANINE HEDDING H.I.S.

MEDICARE: JANINE HEDDING H.I.S.
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 SpecialistAS4094FL
2237700000XHearing Instrument Specialist14000015853NY

General Provider Information

NPI Number : 1457308439
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE HEDDING H.I.S.
Provider Business Mailing Address
First Line : 111 SALAZAR LN
Second Line :
City : SEBASTIAN
State : FL
Zip : 32958-7011
Country : US
Telephone Number : 772-571-3331
Fax Number : 772-778-7838
Provider Business Practice Location Address
First Line : 5445 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-2241
Country : US
Telephone Number : 772-774-8208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 04/15/2022

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