Provider Demographics
NPI:1063459576
Name:BELTONE HEARING AID CENTER
Entity Type:Organization
Organization Name:BELTONE HEARING AID CENTER
Other - Org Name:LAUREL N ROBINSON
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:N
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LHIS NBC HIS
Authorized Official - Phone:727-844-7555
Mailing Address - Street 1:4216 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1605
Mailing Address - Country:US
Mailing Address - Phone:727-844-7555
Mailing Address - Fax:727-376-8841
Practice Address - Street 1:4216 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1605
Practice Address - Country:US
Practice Address - Phone:727-844-7555
Practice Address - Fax:727-376-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2325237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL610054600Medicaid
FLJ006GOtherBCBS OF FL