Most Relevant Information
Provider Data
| NPI Number: | 1003459991 |
| Provider Name: | DIANA MARIE HAFNER HIS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 5489 |
Most Important Dates
| Enumeration Date: | 10/23/2019 |
| Last Updated: | 10/23/2019 |
Provider Practice Location
2960 S US HIGHWAY 1 STE D2
FORT PIERCE
FL
349828142
Practice Location Phone/Fax
| Phone: | 7724652141 |
| Fax: | 7724650997 |
Provider Mailing Location
5146 SW SAVAGE ST
PALM CITY
FL
349905277
Provider Mailing Phone/Fax
| Phone: | 7723614166 |
| Fax: |