Healthcare Provider Details

I. General information

NPI: 1386224186
Provider Name (Legal Business Name): LEA HANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6207 S WEST SHORE BLVD APT 4049
TAMPA FL
33616-1658
US

IV. Provider business mailing address

6207 S WEST SHORE BLVD APT 4049
TAMPA FL
33616-1658
US

V. Phone/Fax

Practice location:
  • Phone: 407-533-1852
  • Fax: 813-343-2942
Mailing address:
  • Phone: 407-533-1852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5658
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: