Provider Demographics
NPI:1033576137
Name:BROY ENTERPRISES INC.
Entity Type:Organization
Organization Name:BROY ENTERPRISES INC.
Other - Org Name:HEAR QUEST HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:BROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-488-5959
Mailing Address - Street 1:1205 U.S. 41 BYPASS SOUTH
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285
Mailing Address - Country:US
Mailing Address - Phone:941-488-5959
Mailing Address - Fax:941-488-4686
Practice Address - Street 1:1205 U.S. 41 BYPASS SOUTH
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285
Practice Address - Country:US
Practice Address - Phone:941-488-5959
Practice Address - Fax:941-488-4686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4191332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies