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Organization
HARBOR AUDIOLOGY, P.A.
Active
Organization
HARBOR AUDIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO GAUTHIER AU.D. (OWNER/AUDIOLOGIST)
(941) 505-0400
Entity
Organization
Contact information
Practice address
100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL 33950
(941) 505-0400
(941) 505-0022
Mailing address
100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL 33950
(941) 505-0400
(941) 505-0022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8079
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/14/2007
Last updated
11/25/2014
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