MEDICARE: HARBOR CITY HEARING SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1295290708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR CITY HEARING SOLUTIONS

Provider Business Mailing Address
First Line	:	3145 SUNTREE BLVD STE 102
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-5720
Country	:	US
Telephone Number	:	321-622-6385
Fax Number	:	321-989-6588

Provider Business Practice Location Address
First Line	:	3145 SUNTREE BLVD STE 102
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-5720
Country	:	US
Telephone Number	:	321-622-6385
Fax Number	:	321-989-6588

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELIZABETH WHITE
Credential	:	AUD
Telephone Number	:	321-622-6385

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	09/01/2021

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