| |
530 W Sagamore Ave, Clewiston, FL 33440-3514 | |
(863) 902-3084 | |
(863) 983-2948 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 530 W Sagamore Ave, Clewiston, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871869594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 3995 (Florida) | Primary |
Mailing Address | Practice Location Address |
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530 W Sagamore Ave, Clewiston, FL 33440-3514 Ph: (863) 902-3084 | 530 W Sagamore Ave, Clewiston, FL 33440-3514 Ph: (863) 902-3084 |