Healthcare Provider Details

I. General information

NPI: 1790807295
Provider Name (Legal Business Name): HEARCARE AUDIOLOGY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 S OSPREY AVE SUITE 2
SARASOTA FL
34239-2920
US

IV. Provider business mailing address

2800 HILLVIEW ST
SARASOTA FL
34239-3221
US

V. Phone/Fax

Practice location:
  • Phone: 941-316-0406
  • Fax: 941-316-9317
Mailing address:
  • Phone: 941-316-0406
  • Fax: 941-316-9317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARY O THORPE
Title or Position: OWNER
Credential: AU.D
Phone: 941-316-0406