Healthcare Provider Details

I. General information

NPI: 1104285014
Provider Name (Legal Business Name): STEFA FAMILY HEARING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4044 COMMERCIAL WAY
SPRING HILL FL
34606-2398
US

IV. Provider business mailing address

10002 FRIERSON LAKE DR
HUDSON FL
34669-3401
US

V. Phone/Fax

Practice location:
  • Phone: 727-858-3563
  • Fax:
Mailing address:
  • Phone: 727-858-3563
  • Fax:

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: MR. NICHOLAS M STEFA
Title or Position: OWNER/HEARING AID SPECIALIST
Credential:
Phone: 727-858-3563