Provider Demographics
NPI:1477700557
Name:SANCIC, MARGERY J (BC-HIS)
Entity Type:Individual
Prefix:
First Name:MARGERY
Middle Name:J
Last Name:SANCIC
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 BEE RIDGE RD
Mailing Address - Street 2:STE. 150
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1514
Mailing Address - Country:US
Mailing Address - Phone:941-379-3277
Mailing Address - Fax:941-379-6277
Practice Address - Street 1:5432 BEE RIDGE RD
Practice Address - Street 2:STE. 150
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1514
Practice Address - Country:US
Practice Address - Phone:941-379-3277
Practice Address - Fax:941-379-6277
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2163237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist