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Organization

SUMTER & MARION HEARING, INC.

Active
Other names
Miracle Ear Hearing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEIDRA M RICHARDSON CO-OWNER (CO-OWNER)
(352) 572-0033
Entity
Organization

Contact information

Practice address
9570 SW HIGHWAY 200, OCALA, FL 34481-7720
(352) 291-1467
(352) 291-1794
Mailing address
11251 COUNTY ROAD 223, OXFORD, FL 34484-3377
(352) 572-0033
(352) 291-1794

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J8106
BLUE CROSS/BLUE SHIELD
Enumeration date
11/16/2009
Last updated
11/02/2011
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