Provider Demographics
NPI:1609110881
Name:HEARING LIFE USA
Entity Type:Organization
Organization Name:HEARING LIFE USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-918-8544
Mailing Address - Street 1:2750 E SILVER SPRINGS BLVD
Mailing Address - Street 2:#201-202
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-7073
Mailing Address - Country:US
Mailing Address - Phone:352-732-2070
Mailing Address - Fax:352-732-4270
Practice Address - Street 1:2750 E SILVER SPRINGS BLVD
Practice Address - Street 2:#201-202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-7073
Practice Address - Country:US
Practice Address - Phone:352-732-2070
Practice Address - Fax:352-732-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-12
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QH0700X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment