Provider Demographics
NPI:1295879286
Name:CLEAR SOLUTIONS HEARING CENTER
Entity type:Organization
Organization Name:CLEAR SOLUTIONS HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:FAVARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:386-672-9420
Mailing Address - Street 1:1521 W GRANADA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5920
Mailing Address - Country:US
Mailing Address - Phone:386-672-9420
Mailing Address - Fax:386-672-9993
Practice Address - Street 1:1521 W GRANADA BLVD
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5920
Practice Address - Country:US
Practice Address - Phone:386-672-9420
Practice Address - Fax:386-672-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL216231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty