Healthcare Provider Details

I. General information

NPI: 1790001352
Provider Name (Legal Business Name): DAVID R. VREELAND M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 SUNRISE AVE
PALM BEACH FL
33480-3869
US

IV. Provider business mailing address

220 SUNRISE AVE
PALM BEACH FL
33480-3869
US

V. Phone/Fax

Practice location:
  • Phone: 561-832-9829
  • Fax:
Mailing address:
  • Phone: 561-832-9829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS727
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: