| |
15721 New Hampshire Ct, Fort Myers, FL 33908 | |
(239) 481-2088 | |
(239) 481-2095 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 15721 New Hampshire Ct, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841508173 | NPI | - | NPPES |
S0637 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AY274 (Florida) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | AY274 (Florida) | Primary |
Provider Name | John H Adams |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1972593796 PECOS PAC ID: 0941332811 Enrollment ID: I20100713000721 |
Mailing Address | Practice Location Address |
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15721 New Hampshire Ct, Fort Myers, FL 33908 Ph: (239) 481-2088 | 15721 New Hampshire Ct, Fort Myers, FL 33908 Ph: (239) 481-2088 |