Provider Demographics
NPI:1568832848
Name:ORLAN, RICHARD (LICENSED HEARING AID)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:ORLAN
Suffix:
Gender:M
Credentials:LICENSED HEARING AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 EAGLE WATCH LANE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327
Mailing Address - Country:US
Mailing Address - Phone:954-298-1640
Mailing Address - Fax:
Practice Address - Street 1:550 S.W. 3RD ST.
Practice Address - Street 2:#101B
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060
Practice Address - Country:US
Practice Address - Phone:954-298-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4958237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist