Healthcare Provider Details

I. General information

NPI: 1689104416
Provider Name (Legal Business Name): HEAR HERE AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 PASADENA AVE S
SAINT PETERSBURG FL
33707-2126
US

IV. Provider business mailing address

502 PASADENA AVE S
SAINT PETERSBURG FL
33707-2126
US

V. Phone/Fax

Practice location:
  • Phone: 727-289-1212
  • Fax: 727-289-9901
Mailing address:
  • Phone: 727-289-1212
  • Fax: 727-289-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1803
License Number StateFL

VIII. Authorized Official

Name: DR. MARY BURTON
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 727-289-1212