Healthcare Provider Details

I. General information

NPI: 1144719154
Provider Name (Legal Business Name): HEARING HEALTHCARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4206 SEBRING PARKWAY
SEBRING FL
33870
US

IV. Provider business mailing address

1751 BLUE RIDGE ROAD
WINTER PARK FL
32789
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-9210
  • Fax: 863-382-9409
Mailing address:
  • Phone: 407-601-5798
  • Fax: 407-286-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PAVONE
Title or Position: OWNER
Credential: BC-HIS, HAS
Phone: 239-218-0441