Provider Demographics
NPI:1194159863
Name:PERRONE, GINA (ACA, BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:PERRONE
Suffix:
Gender:F
Credentials:ACA, BC-HIS
Other - Prefix:MRS
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:SUGZDINIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACA, BC-HIS
Mailing Address - Street 1:1920 QUAKER RIDGE DR
Mailing Address - Street 2:HEARING HEALTH CENTER
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-8089
Mailing Address - Country:US
Mailing Address - Phone:302-229-6883
Mailing Address - Fax:302-529-1045
Practice Address - Street 1:1920 QUAKER RIDGE DR
Practice Address - Street 2:HEARING HEALTH CENTER
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-8089
Practice Address - Country:US
Practice Address - Phone:302-229-6883
Practice Address - Fax:302-529-1045
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00092600237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist