Healthcare Provider Details

I. General information

NPI: 1164185658
Provider Name (Legal Business Name): WINTERSETINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PATTERSON RD
HAINES CITY FL
33844-7840
US

IV. Provider business mailing address

6711 WINTERSET GARDENS RD
WINTER HAVEN FL
33884-3154
US

V. Phone/Fax

Practice location:
  • Phone: 863-421-4415
  • Fax: 863-422-9260
Mailing address:
  • Phone: 863-421-4415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTOPHER FISHER
Title or Position: OWNER
Credential: HEARING AID SPECIALI
Phone: 863-421-4415