Provider Demographics
NPI:1073885919
Name:REAL EAR INC
Entity Type:Organization
Organization Name:REAL EAR INC
Other - Org Name:ADVANCED HEARING CENTERS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PEACE
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:386-423-9099
Mailing Address - Street 1:1976 STATE ROAD 44
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-8349
Mailing Address - Country:US
Mailing Address - Phone:386-423-9099
Mailing Address - Fax:386-423-8265
Practice Address - Street 1:1976 STATE ROAD 44
Practice Address - Street 2:SUITE 11
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-8349
Practice Address - Country:US
Practice Address - Phone:386-423-9099
Practice Address - Fax:386-423-8265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4758332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment