Provider Demographics
NPI:1033454293
Name:EARCARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:EARCARE ASSOCIATES, INC.
Other - Org Name:NICEVILLE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/OWNER/SINGLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:HAS & HIS
Authorized Official - Phone:850-678-3277
Mailing Address - Street 1:1001 COLLEGE BLVD W BLDG 2
Mailing Address - Street 2:TWIN CITIES MEDICAL PLAZA, SUITE I
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-1099
Mailing Address - Country:US
Mailing Address - Phone:850-678-3277
Mailing Address - Fax:850-678-3211
Practice Address - Street 1:1001 COLLEGE BLVD W BLDG 2
Practice Address - Street 2:TWIN CITIES MEDICAL PLAZA, SUITE I
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-1099
Practice Address - Country:US
Practice Address - Phone:850-678-3277
Practice Address - Fax:850-678-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4791237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty