Healthcare Provider Details
I. General information
NPI: 1184866154
Provider Name (Legal Business Name): RIGHT HEAR FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2842 SE FEDERAL HWY
STUART FL
34994-5738
US
IV. Provider business mailing address
8416 OLD MCGREGOR RD
WACO TX
76712-6499
US
V. Phone/Fax
- Phone: 772-219-9773
- Fax:
- Phone: 254-732-5041
- Fax: 254-732-7098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
GREGORY
Title or Position: COO
Credential:
Phone: 254-732-5041