Organization Active NPI

Pelican Bay Hearing Care, Inc.

  • Audiologist-Hearing Aid Fitter
  • Naples, FL
National Provider Identifier
1669658415
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AY 77 Issued in FL
Legal business name
PELICAN BAY HEARING CARE, INC.
Practice address
5600 Trail Blvd
Suite 16
Naples, FL 34108-2880
Phone
(239) 566-2727
Fax
(239) 463-7149
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Irena R Rdzanek
Title
President
Phone
(239) 566-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AY 77 FL
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AY 77 FL Primary

Addresses

Primary practice location

5600 Trail Blvd
Suite 16
Naples, FL 34108-2880

Mailing address

5600 Trail Blvd
Suite 16
Naples, FL 34108-2880
Phone (239) 566-2727

National Provider Directory

National Provider Directory

Locations

5600 Trail Blvd
Ste 16
Naples, FL 34108
Phone (239) 263-4372

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1669658415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 TRAIL BLVD",
            "address_2": "SUITE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082880",
            "telephone_number": "239-566-2727",
            "fax_number": "239-463-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 TRAIL BLVD",
            "address_2": "SUITE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082880",
            "telephone_number": "239-566-2727",
            "fax_number": "239-463-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN BAY HEARING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "RDZANEK",
        "authorized_official_first_name": "IRENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-566-2727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 77",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY 77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.