Provider Demographics
NPI:1679243117
Name:1ST CHOICE HEARING BENEFITS LLC
Entity Type:Organization
Organization Name:1ST CHOICE HEARING BENEFITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-614-0044
Mailing Address - Street 1:PO BOX 2345
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32004-2345
Mailing Address - Country:US
Mailing Address - Phone:888-614-0044
Mailing Address - Fax:866-476-0861
Practice Address - Street 1:45 VALENCIA ST
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-2834
Practice Address - Country:US
Practice Address - Phone:888-614-0044
Practice Address - Fax:866-476-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty