Healthcare Provider Details

I. General information

NPI: 1861080848
Provider Name (Legal Business Name): FLORIDA HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3904 9TH AVE W
BRADENTON FL
34205-1704
US

IV. Provider business mailing address

3904 9TH AVE W
BRADENTON FL
34205-1704
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-8193
  • Fax: 941-747-3573
Mailing address:
  • Phone: 941-747-8193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JASON KRYWKO
Title or Position: PRESIDENT
Credential: AUDIOLOGY
Phone: 941-747-8193