Healthcare Provider Details

I. General information

NPI: 1447790399
Provider Name (Legal Business Name): FLORIDA BEST HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2017
Last Update Date: 02/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2194 MAIN ST STE C
DUNEDIN FL
34698-5656
US

IV. Provider business mailing address

4147 SUN N LAKE BLVD
SEBRING FL
33872-2131
US

V. Phone/Fax

Practice location:
  • Phone: 727-733-2625
  • Fax:
Mailing address:
  • Phone: 863-402-0094
  • Fax: 863-402-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberAS4868
License Number StateFL

VIII. Authorized Official

Name: STEPHEN LEONARD REINSHUTTLE
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 863-402-0094