Healthcare Provider Details
I. General information
NPI: 1700273216
Provider Name (Legal Business Name): HEAROPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2015
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7352 NW 34TH ST
MIAMI FL
33122-1266
US
IV. Provider business mailing address
7352 NW 34TH ST
MIAMI FL
33122-1266
US
V. Phone/Fax
- Phone: 305-418-2025
- Fax: 305-675-0826
- Phone: 305-418-2025
- Fax: 305-675-0826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | L15000067268 |
| License Number State | FL |
VIII. Authorized Official
Name:
SIDNEY
J
STERN
Title or Position: PRESIDENT
Credential: OD
Phone: 305-418-2025