Provider Demographics
NPI:1578918702
Name:AVE MARIA HEARING, INC
Entity Type:Organization
Organization Name:AVE MARIA HEARING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-455-4655
Mailing Address - Street 1:5064 ANNUNCIATION CIR
Mailing Address - Street 2:#103
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9671
Mailing Address - Country:US
Mailing Address - Phone:239-455-4655
Mailing Address - Fax:
Practice Address - Street 1:5064 ANNUNCIATION CIR
Practice Address - Street 2:#103
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9671
Practice Address - Country:US
Practice Address - Phone:239-455-4655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4048237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty