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NPI Code Detail

MEDICARE: CHARLES EDWARD CASH HAS

MEDICARE: CHARLES EDWARD CASH HAS
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
1237600000XAudiologist-Hearing Aid FitterAS2408FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11225306996OTHERFLHEARING AIDS
2C200145644490OTHERHEARING AIDS

General Provider Information

NPI Number : 1558928838
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES EDWARD CASH HAS
Provider Business Mailing Address
First Line : 1500 COLONIAL BLVD STE 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 239-936-4656
Fax Number :
Provider Business Practice Location Address
First Line : 1500 COLONIAL BLVD STE 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1025
Country : US
Telephone Number : 239-936-4656
Fax Number : 239-936-4033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/22/2019

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