Provider Demographics
NPI:1144041096
Name:QUIRINO, SANDRA (HEARING AID SPECIALI)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:QUIRINO
Suffix:
Gender:F
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-4239
Mailing Address - Country:US
Mailing Address - Phone:863-421-4415
Mailing Address - Fax:
Practice Address - Street 1:1011 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4239
Practice Address - Country:US
Practice Address - Phone:863-421-4415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist