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1818 Miccosukee Commons Drive, Tallahassee, FL 32308 | |
(850) 553-4327 | |
(850) 877-3084 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 1818 Miccosukee Commons Drive, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730363714 | NPI | - | NPPES |
S2680 | Other | FL | BCBS |
Provider Name | John H Koonz |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1740220987 PECOS PAC ID: 7113916511 Enrollment ID: I20040512000945 |
Mailing Address | Practice Location Address |
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1818 Miccosukee Commons Drive, Tallahassee, FL 32308 Ph: (850) 553-4327 | 1818 Miccosukee Commons Drive, Tallahassee, FL 32308 Ph: (850) 553-4327 |