Individual
MR. PATRICK J CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAS, BC-HIS
Contact information
Practice address
490 AVENUE K SE, WINTER HAVEN, FL 33880-4125
(863) 294-8353
(863) 299-0334
Mailing address
490 AVENUE K SE, WINTER HAVEN, FL 33880-4125
(863) 294-8353
(863) 299-0334
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS1699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07878
HEARUSA
—
05
—
085215500
—
FL
01
—
J0507
BC/BS INSURANCE
—
Enumeration date
08/22/2013
Last updated
08/22/2013
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