Provider Demographics
NPI:1073148417
Name:HEAR FOR YOU AUDIOLOGY CENTER LLC
Entity Type:Organization
Organization Name:HEAR FOR YOU AUDIOLOGY CENTER LLC
Other - Org Name:PROFESSIONAL HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JICKELL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:863-265-4769
Mailing Address - Street 1:4550 CLYDE MORRIS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-4080
Mailing Address - Country:US
Mailing Address - Phone:386-265-4769
Mailing Address - Fax:386-265-4618
Practice Address - Street 1:4550 CLYDE MORRIS BLVD STE B
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-4080
Practice Address - Country:US
Practice Address - Phone:386-265-4769
Practice Address - Fax:386-265-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty