Provider Demographics
NPI:1861756942
Name:FLORIDA HEARING SOLUTIONS, LLC
Entity type:Organization
Organization Name:FLORIDA HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:GANIO
Authorized Official - Last Name:LEWERENZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:813-545-3238
Mailing Address - Street 1:9804 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-4802
Mailing Address - Country:US
Mailing Address - Phone:813-545-3238
Mailing Address - Fax:
Practice Address - Street 1:9804 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-4802
Practice Address - Country:US
Practice Address - Phone:813-545-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1728231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty