Provider Demographics
NPI:1366704504
Name:HEARING HEALTHCARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:HEARING HEALTHCARE SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:PAVONE
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, HAS
Authorized Official - Phone:239-218-0441
Mailing Address - Street 1:1751 BLUE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5826
Mailing Address - Country:US
Mailing Address - Phone:239-218-0441
Mailing Address - Fax:
Practice Address - Street 1:124 S AMELIA AVE
Practice Address - Street 2:#B
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5564
Practice Address - Country:US
Practice Address - Phone:386-736-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING HEALTHCARE SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-13
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3404332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment