Provider Demographics
NPI:1699014993
Name:MEDX HEARING CENTER
Entity Type:Organization
Organization Name:MEDX HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORSYTH
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:561-638-4733
Mailing Address - Street 1:4665 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3800
Mailing Address - Country:US
Mailing Address - Phone:561-638-4733
Mailing Address - Fax:561-638-4734
Practice Address - Street 1:4665 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3800
Practice Address - Country:US
Practice Address - Phone:561-638-4733
Practice Address - Fax:561-638-4734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment