| |
1224 Del Prado Blvd S, Suite C, Cape Coral, FL 33990-3670 | |
(239) 772-0940 | |
(239) 677-3606 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 1224 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629320957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AY302 (Florida) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | AY302 (Florida) | Primary |
Provider Name | Maura L Chippendale |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1285624247 PECOS PAC ID: 4385790849 Enrollment ID: I20090924000345 |
Provider Name | Crystal Goetz |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1770763559 PECOS PAC ID: 4880849942 Enrollment ID: I20130221000534 |
Provider Name | David G Shropshire |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1588289607 PECOS PAC ID: 4385060680 Enrollment ID: I20200818000562 |
Provider Name | Allison Natalia Vogelbach |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1457017196 PECOS PAC ID: 1052858776 Enrollment ID: I20240731000249 |
Mailing Address | Practice Location Address |
---|---|
6215 Brookshire Ter, Fort Myers, FL 33912-4239 Ph: (239) 994-8322 | 1224 Del Prado Blvd S, Suite C, Cape Coral, FL 33990-3670 Ph: (239) 772-0940 |