Individual
SONIA RENEE WADE BANNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PLACIDA RD STE B3, ENGLEWOOD, FL 34223-4951
(941) 474-4637
(941) 999-4283
Mailing address
17966 N TAMIAMI TRL STE 145, NORTH FORT MYERS, FL 33903-1414
(239) 997-0588
(941) 999-4283
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5473
FL
Other
Enumeration date
02/15/2021
Last updated
09/05/2023
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