| Audiology Consultants Pa Of Panama City | |
|
2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 | |
| (850) 769-2705 | |
| (850) 769-1097 |
| Full Name | Audiology Consultants Pa Of Panama City |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2518 S Highway 77 Ste A, Lynn Haven, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306068523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY370 (Florida) | Secondary |
| 231H00000X | Audiologist | AY1111 (Florida) | Primary |
| Provider Name | Marcus Kolmetz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497749303 PECOS PAC ID: 9133210602 Enrollment ID: I20070813000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Audiology Consultants Pa Of Panama City 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 | Audiology Consultants Pa Of Panama City 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 |
Larry O Otwell, AUD CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 | |
Marcus P Kolmetz, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 |