MEDICARE: ORMOND HEARING CENTER LLC

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1548989288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORMOND HEARING CENTER LLC

Provider Business Mailing Address
First Line	:	115 E GRANADA BLVD STE 12
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-6634
Country	:	US
Telephone Number	:	386-492-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E GRANADA BLVD STE 12
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-6634
Country	:	US
Telephone Number	:	386-492-2923
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. INDIRA ALVAREZ
Credential	:	AU.D
Telephone Number	:	386-283-4932

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	05/16/2023

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Directions to “ORMOND HEARING CENTER LLC ” Practice Location

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