Individual
MR. EDWARD JAMES DENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
930 MAR WALT DR, FORT WALTON BEACH, FL 32547
(850) 374-8000
Mailing address
1772 SEA LARK LN, NAVARRE, FL 32566-7472
(850) 816-9742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AS5539
FL
237700000X
Hearing Instrument Specialist
3501003129
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952435786
SOUND HEARING CENTERS
FL
05
—
1952435786
—
FL
01
—
540E600460
BLUE CROSS BLUE SHIELD
MI
01
—
540E610720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/15/2007
Last updated
08/05/2021
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