Provider Demographics
NPI:1497127088
Name:THE VILLAGE HEARING CENTER
Entity Type:Organization
Organization Name:THE VILLAGE HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-744-0231
Mailing Address - Street 1:249 U.S. #1
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469
Mailing Address - Country:US
Mailing Address - Phone:561-744-0231
Mailing Address - Fax:
Practice Address - Street 1:249 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2701
Practice Address - Country:US
Practice Address - Phone:561-744-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1718332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ0596OtherBLUE CROSS BLUE SHIELD OF FL