Healthcare Provider Details

I. General information

NPI: 1306106992
Provider Name (Legal Business Name): HEARING HEALTHCARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 N MAIN ST
KISSIMMEE FL
34744-4564
US

IV. Provider business mailing address

1751 BLUE RIDGE ROAD
WINTER PARK FL
32789
US

V. Phone/Fax

Practice location:
  • Phone: 407-910-4700
  • Fax: 407-910-4701
Mailing address:
  • Phone: 239-218-0441
  • Fax: 407-286-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberAS3404
License Number StateFL

VIII. Authorized Official

Name: MATTHEW CRAIG PAVONE
Title or Position: OWNER
Credential: BC-HIS, HAS
Phone: 239-218-0441