Healthcare Provider Details

I. General information

NPI: 1639682826
Provider Name (Legal Business Name): DELTA HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2937 BEE RIDGE RD STE 3
SARASOTA FL
34239-7119
US

IV. Provider business mailing address

2937 BEE RIDGE RD STE 3
SARASOTA FL
34239-7119
US

V. Phone/Fax

Practice location:
  • Phone: 941-587-6103
  • Fax: 941-745-1343
Mailing address:
  • Phone: 941-702-8321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: BRANDON ROSSLER
Title or Position: OWNER
Credential:
Phone: 941-587-6103