Healthcare Provider Details

I. General information

NPI: 1962841650
Provider Name (Legal Business Name): FLORIDA HEARING MATTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 NE 20TH TER SUITE 305
FORT LAUDERDALE FL
33308-4510
US

IV. Provider business mailing address

4800 NE 20TH TER SUITE 305
FORT LAUDERDALE FL
33308-4510
US

V. Phone/Fax

Practice location:
  • Phone: 954-772-3044
  • Fax: 954-772-3044
Mailing address:
  • Phone: 954-772-3044
  • Fax: 954-772-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1359
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY1359
License Number StateFL

VIII. Authorized Official

Name: DR. VALERIE ROSE ROSSETTI
Title or Position: OWNER
Credential: AU.D.
Phone: 954-772-3044