Healthcare Provider Details
I. General information
NPI: 1013438522
Provider Name (Legal Business Name): VHCFINOG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2298 NW BOCA RATON BLVD SUITE 14
BOCA RATON FL
33431
US
IV. Provider business mailing address
23285 BOCA CHICA CIR
BOCA RATON FL
33433-7299
US
V. Phone/Fax
- Phone: 908-216-6682
- Fax:
- Phone: 908-216-6628
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSEPH
MICHAEL
FICARRA
Title or Position: OWNER
Credential: HIS
Phone: 908-216-6682