Healthcare Provider Details

I. General information

NPI: 1275478869
Provider Name (Legal Business Name): AMY COMFORT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAND AVE STE M
ORMOND BEACH FL
32174-8196
US

IV. Provider business mailing address

3840 S NOVA RD STE B1
PORT ORANGE FL
32127-4245
US

V. Phone/Fax

Practice location:
  • Phone: 386-673-5280
  • Fax: 386-673-8618
Mailing address:
  • Phone: 386-756-8225
  • Fax: 386-767-0742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5962
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: