Provider Demographics
NPI:1306106992
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 ROAD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:239-218-0441
Mailing Address - Fax:407-286-3186
Practice Address - Street 1:806 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4564
Practice Address - Country:US
Practice Address - Phone:407-910-4700
Practice Address - Fax:407-910-4701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING HEALTHCARE SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-17
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3404332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment