Healthcare Provider Details

I. General information

NPI: 1316338346
Provider Name (Legal Business Name): LIFESTYLE HEARING CORPORATION USA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 N JOG RD
PALM BEACH GARDENS FL
33418-1756
US

IV. Provider business mailing address

11400 N JOG RD
PALM BEACH GARDENS FL
33418-1756
US

V. Phone/Fax

Practice location:
  • Phone: 561-678-3394
  • Fax: 561-453-3235
Mailing address:
  • Phone: 561-678-3394
  • Fax: 561-453-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MORGAN KLEIN
Title or Position: DIRECTOR OF INSURANCE OPERATIONS
Credential:
Phone: 561-678-3394