Healthcare Provider Details
I. General information
NPI: 1598325466
Provider Name (Legal Business Name): STEVES HEARINGLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2019
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
742 N VOLUCIA AVE.
ORANGE CITY FL
32763
US
IV. Provider business mailing address
4119 SUN N LAKE BLVD
SEBRING FL
33872-2131
US
V. Phone/Fax
- Phone: 512-970-0384
- Fax:
- Phone: 512-970-0384
- Fax: 863-402-0096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
LEONARD
REINSHUTTLE
Title or Position: MEMBER
Credential: BC-HIS
Phone: 512-970-0384