Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE JOHN FONFARA, HAS
Active Sole ProprietorMR. THEODORE JOHN FONFARA, HAS is a Hearing Instrument Specialist healthcare provider located in PORT CHARLOTTE, Florida. NPI 1992141147 is currently active in the NPPES registry. Verify at CMS.
Hearing Instrument Specialist · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1992141147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2013 (13.212812545775 yrs)
- Last Updated
- May 15, 2013
- License
-
AS 3621 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2811 TAMIAMI TRLSTE.APORT CHARLOTTE, FL, 339525173Browse FL providers · Browse ZIP 33952
- Phone
- 9416298808
- Fax
- 9416291025
- Primary Specialty
-
Hearing Instrument Specialist
237700000X
Other Hearing Instrument Specialist Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| MARCO A MOOR | — | 1134233687 |
| MR. ROBERT C WATTS | BC-HIS #5556 | 1841419736 |
| GRANT EDWARD STEVENS | HIS | 1407178486 |
| MS. THERESA STEVENS | HIS | 1124340104 |
| MS. MAURYA HELLANE | HAS, BCHIS, MBA | 1992057996 |
| WALTER MAZEIKO JR. | HAS | 1730500117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.