Individual
ZACKERY GLENN PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
1819 SALK AVE, TAVARES, FL 32778-4311
(352) 343-7279
(352) 434-1618
Mailing address
601 E DIXIE AVE STE 901, LEESBURG, FL 34748-7308
(352) 728-2404
(352) 787-7401
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5640
FL
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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