Provider Demographics
NPI:1376393199
Name:I'M ALL EARS LLC
Entity Type:Organization
Organization Name:I'M ALL EARS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEMER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:321-863-5355
Mailing Address - Street 1:513 CRYSTAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1936
Mailing Address - Country:US
Mailing Address - Phone:321-863-5355
Mailing Address - Fax:
Practice Address - Street 1:6525 3RD ST STE 310
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5749
Practice Address - Country:US
Practice Address - Phone:321-863-5355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty