MEDICARE: AFFORDABLE HEARING CENTERS

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	AS3431	FL

General Provider Information

NPI Number	:	1962831057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE HEARING CENTERS

Provider Business Mailing Address
First Line	:	651 MARISOL DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5357
Country	:	US
Telephone Number	:	843-270-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	651 MARISOL DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5357
Country	:	US
Telephone Number	:	843-270-0880
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JERRY MISHLER
Credential	:
Telephone Number	:	386-868-4100

Provider Enumeration Date	:	11/08/2013
Last Update Date	:	11/05/2015

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