Healthcare Provider Details

I. General information

NPI: 1053013110
Provider Name (Legal Business Name): HEAR SARASOTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CLARK RD STE 170
SARASOTA FL
34231-8435
US

IV. Provider business mailing address

3333 CLARK RD
SARASOTA FL
34231-8432
US

V. Phone/Fax

Practice location:
  • Phone: 941-504-0079
  • Fax:
Mailing address:
  • Phone: 941-504-0079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN MASSEY
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 941-504-0079