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Organization

EARTECH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARJA LYNN KRYWKO (VICE PRESIDENT)
(941) 747-8193
Entity
Organization

Contact information

Practice address
3904 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-8193
Mailing address
3904 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-8193

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
AY549
FL
235Z00000X
Speech-Language Pathologist
SA2294
FL
237700000X
Hearing Instrument Specialist
AS0002378
FL
237700000X
Hearing Instrument Specialist
Primary
AS0002885
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J0639
HEARING,AUDIOLOGY
FL
Enumeration date
04/04/2007
Last updated
09/11/2025
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