Healthcare Provider Details

I. General information

NPI: 1073336384
Provider Name (Legal Business Name): HEARING CARE FL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4266 NORTHLAKE BLVD
PALM BEACH GARDENS FL
33410-6224
US

IV. Provider business mailing address

4266 NORTHLAKE BLVD
PALM BEACH GARDENS FL
33410-6224
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-3552
  • Fax: 561-627-7275
Mailing address:
  • Phone: 561-627-3552
  • Fax: 561-627-7275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DANA COVENEY
Title or Position: OWNER
Credential: AUD
Phone: 561-627-3552