MEDICARE: DANA JOY SCHWANEMANN H.A.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
1	237700000X	Hearing Instrument Specialist	AS3911	FL

General Provider Information

NPI Number	:	1457623209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA JOY SCHWANEMANN H.A.S.

Provider Business Mailing Address
First Line	:	5347 MAIN ST
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2506
Country	:	US
Telephone Number	:	727-807-7082
Fax Number	:	727-807-7083

Provider Business Practice Location Address
First Line	:	5347 MAIN ST
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2506
Country	:	US
Telephone Number	:	727-807-7082
Fax Number	:	727-807-7083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2012
Last Update Date	:	02/08/2012

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