Healthcare Provider Details
I. General information
NPI: 1528291176
Provider Name (Legal Business Name): DECIBELS AUDIOLOGY AND HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3000 IMMOKALEE RD SUITE 8
NAPLES FL
34110-1444
US
IV. Provider business mailing address
3000 IMMOKALEE RD SUITE 8
NAPLES FL
34110-1444
US
V. Phone/Fax
- Phone: 239-593-5327
- Fax:
- Phone: 239-593-5327
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | AY1257 |
| License Number State | FL |
VIII. Authorized Official
Name: MS.
APRIL
L
ROYAN
Title or Position: AUDIOLOGIST
Credential: M.A. CCC-A
Phone: 239-593-5327