Provider Demographics
NPI:1578874343
Name:BELTONE SOUTH FLORIDA, LLC
Entity Type:Organization
Organization Name:BELTONE SOUTH FLORIDA, LLC
Other - Org Name:BELTONE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:561-932-1200
Mailing Address - Street 1:1975 SANSBURY'S WAY
Mailing Address - Street 2:UNIT 115
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-432-1200
Mailing Address - Fax:561-932-1210
Practice Address - Street 1:7304 WEST ALTANTIC BOULEVARD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-933-0869
Practice Address - Fax:954-933-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2794332S00000X
FL332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment