MEDICARE: HEARING HEALTHCARE SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	AS3404	FL

General Provider Information

NPI Number	:	1306106992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING HEALTHCARE SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	1751 BLUE RIDGE ROAD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789
Country	:	US
Telephone Number	:	239-218-0441
Fax Number	:	407-286-3186

Provider Business Practice Location Address
First Line	:	806 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4564
Country	:	US
Telephone Number	:	407-910-4700
Fax Number	:	407-910-4701

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW CRAIG PAVONE
Credential	:	BC-HIS, HAS
Telephone Number	:	239-218-0441

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	02/16/2017

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