Healthcare Provider Details

I. General information

NPI: 1013136704
Provider Name (Legal Business Name): HEARING CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E LAKE HOWARD DR
WINTER HAVEN FL
33881-3155
US

IV. Provider business mailing address

160 E LAKE HOWARD DR
WINTER HAVEN FL
33881-3155
US

V. Phone/Fax

Practice location:
  • Phone: 863-299-1251
  • Fax: 863-299-7666
Mailing address:
  • Phone: 863-299-1251
  • Fax: 863-299-7666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BUNN
Title or Position: ADMINISTRATOR
Credential: MA
Phone: 863-299-1251