MEDICARE: SYLVIA ROUSE HORGAN

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	AS2071	FL

General Provider Information

NPI Number	:	1912157421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA ROUSE HORGAN

Provider Business Mailing Address
First Line	:	5600 TRAIL BLVD STE 16
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-2860
Country	:	US
Telephone Number	:	239-263-4972
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 TRAIL BLVD STE 16
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-2860
Country	:	US
Telephone Number	:	239-263-4972
Fax Number	:

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

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	01/11/2023

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