Provider Demographics
NPI:1093897209
Name:KENT-TRONICS CORP
Entity Type:Organization
Organization Name:KENT-TRONICS CORP
Other - Org Name:AUDIBEL HEARING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERILYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-799-1278
Mailing Address - Street 1:70 COUNTRY CLUB ROAD
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931
Mailing Address - Country:US
Mailing Address - Phone:321-799-1278
Mailing Address - Fax:321-799-1177
Practice Address - Street 1:1535 W NEW HAVEN AV
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904
Practice Address - Country:US
Practice Address - Phone:321-674-1605
Practice Address - Fax:321-674-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2169237700000X
FLAS2632237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty