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Organization

REALEAR, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY W. SMITH BC-HAS-ACA (VICE PRESIDENT)
(386) 447-3530
Entity
Organization

Contact information

Practice address
1000 PALM COAST PKWY SW, SUITE #109, PALM COAST, FL 32137-4746
(386) 447-3530
(386) 447-3633
Mailing address
1000 PALM COAST PKWY SW, SUITE #109, PALM COAST, FL 32137-4746
(386) 447-3530
(386) 447-3633

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
237700000X
Hearing Instrument Specialist
Primary

Other

Enumeration date
03/11/2011
Last updated
03/11/2011
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