Healthcare Provider Details

I. General information

NPI: 1134352297
Provider Name (Legal Business Name): HEARING HEALTHCARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 MIDDLE STREET, SUITE 1131
LAKE MARY FL
32746
US

IV. Provider business mailing address

1751 BLUE RIDGE RD
WINTER PARK FL
32789-5826
US

V. Phone/Fax

Practice location:
  • Phone: 407-804-0333
  • Fax:
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 NumberAS 3404
License Number StateFL

VIII. Authorized Official

Name: SANDRA K DAUM
Title or Position: CORPORATE ADMINISTRATOR
Credential:
Phone: 407-804-0333