Organization
ANCLOTE HEARING CENTERS, INC
Active
Other names
Southgate Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA GLADWIN AU.D. (PRESIDENT)
(727) 849-6076
Entity
Organization
Contact information
Practice address
5139 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-3966
(727) 849-6076
(727) 848-2830
Mailing address
5139 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-3966
(727) 849-6076
(727) 848-2830
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1140
FL
Other
Enumeration date
08/06/2006
Last updated
08/22/2020
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