Sharon I Blackman, BC-HIS,ACA
Individual provider Active NPI Hearing Instrument Specialist · Eustis, FL
NPI 1235172149 · NPPES record last updated Sep 22, 2009
Key facts
- NPI
- 1235172149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- AS2776 (FL)
- Practice address
- 2904 David Walker Dr
Eustis, FL 32726-6177 - Phone
- (352) 589-4327
- Fax
- (352) 589-0959
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| AS2776 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonus-USA, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS2776 | FL | Yes |
Addresses
Primary practice location
2904 David Walker Dr
Eustis, FL 32726-6177
Mailing address
2904 David Walker Dr
Eustis, FL 32726-6177
Phone (352) 589-4327
Other providers in Eustis, FL
- Kimberly Ann Besuden
- Carly Biemann
- Michael W Black
- Paula Black
- Rachel Black
- Kari Elizabeth Blamick
- Nicole Blanch
- Robert Blanchette
- Mario Blanco
- Teddy Roger Bland Jr.
All providers in Eustis, 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 Sep 22, 2009. 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.