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Organization

TRI-COUNTY AUDIOLOGY AND HEARING AID SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBEKAH PETTY (OWNER)
(352) 746-1133
Entity
Organization

Contact information

Practice address
3519 N LECANTO HWY, BEVERLY HILLS, FL 34465-3501
(352) 746-1133
(352) 746-3474
Mailing address
3519 N LECANTO HWY, BEVERLY HILLS, FL 34465-3501
(352) 746-1133
(352) 746-3474

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
AS5043
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
543064
AVAILITY
FL
01
J0158
BLUE CROSS BLUE SHIELDS
FL
Enumeration date
09/23/2011
Last updated
02/04/2016
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