MEDICARE: NEW GENERATION HEARING CENTERS

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	AY1145	FL

General Provider Information

NPI Number	:	1780839324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW GENERATION HEARING CENTERS

Provider Business Mailing Address
First Line	:	3431 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3632
Country	:	US
Telephone Number	:	305-551-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	3431 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3632
Country	:	US
Telephone Number	:	305-551-7222
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. YVETTE D SOMEILLAN
Credential	:
Telephone Number	:	305-551-7222

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	09/12/2011

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