MEDICARE: CAROLINE SOZIO

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	AS5251	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912444902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE SOZIO

Provider Business Mailing Address
First Line	:	1130 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5913
Country	:	US
Telephone Number	:	386-672-9993
Fax Number	:	978-313-6824

Provider Business Practice Location Address
First Line	:	1130 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5913
Country	:	US
Telephone Number	:	386-672-9993
Fax Number	:	386-672-9852

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

Provider Enumeration Date	:	01/27/2017
Last Update Date	:	08/05/2024

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Directions to “ CAROLINE SOZIO ” Practice Location

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