MEDICARE: MR. JEFFREY CAINE

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	237700000X	Hearing Instrument Specialist	AS1415	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T0948	OTHER	FL	BCBS OF FL GROUP ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811936131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY CAINE

Provider Business Mailing Address
First Line	:	9400 9TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-2422
Country	:	US
Telephone Number	:	727-328-7700
Fax Number	:	727-321-2301

Provider Business Practice Location Address
First Line	:	9400 9TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-2422
Country	:	US
Telephone Number	:	727-328-7700
Fax Number	:	727-321-2301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	05/05/2009

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Directions to “ MR. JEFFREY CAINE ” Practice Location

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