MR. THEODORE JOHN FONFARA (NPI# 1992141147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992141147 |
| Entity Type | Individual |
| Full Name | MR. THEODORE JOHN FONFARA |
| Credential | HAS |
| Practice Address |
2811 Tamiami Trl Ste.a Port Charlotte FL 33952-5173 |
| Practice Telephone | 9416298808 |
| Practice Fax Number | 9416291025 |
| Mailing Telephone | 9416298808 |
| Mailing Fax Number | 9416291025 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS 3621 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
2811 TAMIAMI TRL STE.A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235313685 | A Preferred Nursing Service, Inc. | Home Health | 2811 Tamiami Trl, Suite Q, Port Charlotte, FL 33952-5173 | 2007-12-20 |
| 1205061447 | Jeffrey Mark Greenberg Md Pa | Obstetrics & Gynecology | 2811 Tamiami Trl, Suite I, Port Charlotte, FL 33952-5173 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972095180 | Hear Again LLC | Hearing Instrument Specialist | 2811 Tamiami Trail, Suite H, Port Charlotte, FL 33952-5135 | 2018-06-04 |
| 1407365125 | Eric Movshin | Hearing Instrument Specialist | 19451 Cochran Blvd Unit 200, Port Charlotte, FL 33948-2040 | 2017-09-26 |
| 1588116560 | Nanci Lekov | Hearing Instrument Specialist | 950 Tamiami Trl Unit 103, Port Charlotte, FL 33953-3102 | 2016-10-26 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| 1407178486 | Grant Edward Stevens | Hearing Instrument Specialist | 2866 Tamiami Trl Ste D, Port Charlotte, FL 33952 | 2010-02-18 |
| 1518299528 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 3052 Harbor Blvd., Unit 1, Port Charlotte, FL 33952 | 2010-02-02 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1841419736 | Robert C Watts | Hearing Instrument Specialist | 4055 Tamiami Tr Unit 40, Port Charlotte, FL 33952 | 2007-04-25 |
| 1134233687 | Marco A Moor | Hearing Instrument Specialist | 2221c Tamiami Trl, Port Charlotte, FL 33948-2104 | 2006-08-19 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on MR. THEODORE JOHN FONFARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.