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NPI Code Detail

MEDICARE: SUMTER & MARION HEARING, INC.

MEDICARE: SUMTER & MARION HEARING, 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
1237700000XHearing Instrument Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J8106OTHERBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1508193335
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMTER & MARION HEARING, INC.
Provider Business Mailing Address
First Line : 11251 COUNTY ROAD 223
Second Line :
City : OXFORD
State : FL
Zip : 34484-3377
Country : US
Telephone Number : 352-572-0033
Fax Number : 352-291-1794
Provider Business Practice Location Address
First Line : 9570 SW HIGHWAY 200
Second Line :
City : OCALA
State : FL
Zip : 34481-7720
Country : US
Telephone Number : 352-291-1467
Fax Number : 352-291-1794
Authorized Official
Title or Position : CO-OWNER
Name : MRS. DEIDRA M RICHARDSON
Credential : CO-OWNER
Telephone Number : 352-572-0033
Provider Enumeration Date : 11/16/2009
Last Update Date : 11/02/2011

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Directions to “SUMTER & MARION HEARING, INC. ” Practice Location

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