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Individual

MR. BENGT ERICSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.C.-H.I.S.

Contact information

Practice address
1719 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4906
(941) 744-0900
(941) 744-0925
Mailing address
1719 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4906
(941) 744-0900
(941) 744-0925

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3904
FL

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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