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NPI Code Detail

MEDICARE: MS. NANCY T SOFIAK M.A.

MEDICARE: MS. NANCY T SOFIAK M.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
1231H00000XAudiologistAY509FL

General Provider Information

NPI Number : 1558397935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY T SOFIAK M.A.
Provider Business Mailing Address
First Line : 551 NATIONAL HEALTH CARE DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-1495
Country : US
Telephone Number : 386-323-7500
Fax Number : 386-323-7570
Provider Business Practice Location Address
First Line : 551 NATIONAL HEALTH CARE DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-1495
Country : US
Telephone Number : 386-323-7500
Fax Number : 386-323-7570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 07/08/2007

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