Healthcare Provider Details

I. General information

NPI: 1598001265
Provider Name (Legal Business Name): SANDRA XIOMARA FREIA HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2012
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17940 S MILITARY TRL STE 300 HEAR AGAIN AMERICA
BOCA RATON FL
33496-2412
US

IV. Provider business mailing address

17940 S MILITARY TRL STE 300 HEAR AGAIN AMERICA
BOCA RATON FL
33496-2412
US

V. Phone/Fax

Practice location:
  • Phone: 561-367-1623
  • Fax: 561-571-6319
Mailing address:
  • Phone: 561-367-1623
  • Fax: 561-571-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4093
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: