Andrew Bliss
Individual provider Active NPI Hearing Instrument Specialist · Bunnell, FL
NPI 1124460100 · NPPES record last updated Jul 19, 2013
Key facts
- NPI
- 1124460100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- AS4946 (FL)
- Practice address
- 1108 S State St
#108
Bunnell, FL 32110-7402 - Phone
- (386) 313-5911
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS4946 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Audiology Service, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS4946 | FL | Yes |
Addresses
Primary practice location
1108 S State St
#108
Bunnell, FL 32110-7402
Mailing address
1108 S State St
#108
Bunnell, FL 32110-7402
Phone (386) 313-5911
Other providers in Bunnell, FL
- Devon Beneby
- Monique M. Berces-Mardenly
- Frances Elizabeth Bey
- Stephen R. Bickel
- Kristina H Blanchek
- Ronda Maria Bostick
- Martha Bradley
- Mary Anna Buckner
- Bunnell Medical Center Inc
- Bunnell Pharmacy Inc
All providers in Bunnell, FL · Hearing Instrument Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.