Individual
MICHAEL HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 PLANTATION ISLAND DR S, SUITE 401B, ST AUGUSTINE, FL 32080-3108
(904) 264-0075
(904) 264-0136
Mailing address
1990 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 264-0075
(904) 264-0136
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5023
FL
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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