1235529025 NPI number — ALL ABOUT HEARING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235529025 NPI number — ALL ABOUT HEARING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL ABOUT HEARING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235529025
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1250 W HWY 434 STE 1012
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONGWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32750-4969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-260-1818
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1250 W HWY 434
Provider Second Line Business Practice Location Address:
SUITE 1012
Provider Business Practice Location Address City Name:
LONGWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32750-4969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
774-269-0469
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2015

Additional Information

Authorized Official

Authorized Official Last Name:
DEVORE
Authorized Official First Name:
ERICKA
Authorized Official Middle Name:
Authorized Official Title or Position:
AUDIOLOGIST
Authorized Official Telephone Number:
407-260-1818

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X , with the licence number:  AY1457 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X , with the licence number: AY1457 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P01321829 . This is a "RR MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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