Healthcare Provider Details

I. General information

NPI: 1184665960
Provider Name (Legal Business Name): EDWARD JOHN SAVINON LHAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 N CONGRESS AVE
BOYNTON BEACH FL
33426-3414
US

IV. Provider business mailing address

PO BOX 406153
ATLANTA GA
30384-1876
US

V. Phone/Fax

Practice location:
  • Phone: 561-736-8599
  • Fax: 561-743-0195
Mailing address:
  • Phone: 561-478-8770
  • Fax: 561-688-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS2184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: