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NPI Code Detail

MEDICARE: SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A

MEDICARE: SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A
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
1231H00000XAudiologist

General Provider Information

NPI Number : 1518002732
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A
Provider Business Mailing Address
First Line : 9732 COMMERCE CENTER CT
Second Line : UNIT A
City : FORT MYERS
State : FL
Zip : 33908-3647
Country : US
Telephone Number : 239-332-0707
Fax Number : 239-332-0780
Provider Business Practice Location Address
First Line : 9732 COMMERCE CENTER CT
Second Line : UNIT A
City : FORT MYERS
State : FL
Zip : 33908-3647
Country : US
Telephone Number : 239-332-0707
Fax Number : 239-332-0780
Authorized Official
Title or Position : PRESIDENT
Name : LYNDA MARIE NALLY
Credential : AUD
Telephone Number : 239-332-0707
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/19/2007

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Directions to “SOUTHWEST FLORIDA CENTER FOR HEARING AND BALANCE P A ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.