=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235594243
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAR.COM
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/17/2015
-----------------------------------------------------
Last Update Date | 12/17/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 396 ALHAMBRA CIR SUITE S-700
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-5045
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-323-6711
-----------------------------------------------------
Fax | 866-491-4491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 396 ALHAMBRA CIR SUITE S-700
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-5045
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-323-6711
-----------------------------------------------------
Fax | 866-491-4491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNTRY HEAD USA
-----------------------------------------------------
Name | MR. VALENTIN GRUBER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-283-5505
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332S00000X
-----------------------------------------------------
Taxonomy Name | Hearing Aid Equipment
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------