Provider Demographics
NPI:1518295286
Name:COMPLETE HEARING AND BALANCE SOLUTIONS
Entity Type:Organization
Organization Name:COMPLETE HEARING AND BALANCE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIJA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:321-676-2353
Mailing Address - Street 1:1344 S APOLLO BLVD
Mailing Address - Street 2:301
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3183
Mailing Address - Country:US
Mailing Address - Phone:321-676-2353
Mailing Address - Fax:321-951-9267
Practice Address - Street 1:1344 S APOLLO BLVD
Practice Address - Street 2:301
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3183
Practice Address - Country:US
Practice Address - Phone:321-676-2353
Practice Address - Fax:321-951-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1053237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600345100Medicaid
FL600345100Medicaid