MEDICARE: HIGH NOTE HEARING AIDS

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	AS3749	FL

General Provider Information

NPI Number	:	1922347244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH NOTE HEARING AIDS

Provider Business Mailing Address
First Line	:	48 MARGARET RD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-3543
Country	:	US
Telephone Number	:	386-677-7542
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 MARGARET RD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-3543
Country	:	US
Telephone Number	:	386-677-7542
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL A PESKOR
Credential	:	BC-HIS
Telephone Number	:	386-677-7542

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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