Healthcare Provider Details

I. General information

NPI: 1891975462
Provider Name (Legal Business Name): HEAR AGAIN AUDIOLOGY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 N CLEVELAND AVE STE 8
NORTH FORT MYERS FL
33903-2176
US

IV. Provider business mailing address

16251 N CLEVELAND AVE STE 8
NORTH FORT MYERS FL
33903-2176
US

V. Phone/Fax

Practice location:
  • Phone: 239-768-3078
  • Fax: 239-997-8084
Mailing address:
  • Phone: 239-768-3078
  • Fax: 239-997-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1198
License Number StateFL

VIII. Authorized Official

Name: DR. CRYSTAL MARIE BROUSSARD
Title or Position: DOCTOR OF AUDIOLOGY/OWNER
Credential: AU.D.
Phone: 239-768-3078