MEDICARE: SIMPLY HEARING, INC.

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

General Provider Information

NPI Number	:	1952738833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLY HEARING, INC.

Provider Business Mailing Address
First Line	:	4915 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-2823
Country	:	US
Telephone Number	:	954-967-9997
Fax Number	:

Provider Business Practice Location Address
First Line	:	4915 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-2823
Country	:	US
Telephone Number	:	954-967-9997
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MARIFRAN C RAMAGLIA
Credential	:	AUD
Telephone Number	:	954-967-9997

Provider Enumeration Date	:	10/08/2013
Last Update Date	:	10/08/2013

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