Audiology Consultants Pa Of Panama City | |
2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 | |
(850) 769-2705 | |
(850) 769-1097 |
Full Name | Audiology Consultants Pa Of Panama City |
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Type | Facility |
Speciality | Audiologist |
Location | 2518 S Highway 77 Ste A, Lynn Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306068523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AY370 (Florida) | Secondary |
231H00000X | Audiologist | AY1111 (Florida) | Primary |
Provider Name | Marcus Kolmetz |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1497749303 PECOS PAC ID: 9133210602 Enrollment ID: I20070813000499 |
Mailing Address | Practice Location Address |
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Audiology Consultants Pa Of Panama City 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 | Audiology Consultants Pa Of Panama City 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 |
Larry O Otwell, AUD CCCA Audiologist Medicare: Medicare Enrolled Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 | |
Marcus P Kolmetz, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 |