Provider Demographics
NPI:1881024255
Name:TIMBER RIDGE HEARING CENTER LLC
Entity Type:Organization
Organization Name:TIMBER RIDGE HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-237-3191
Mailing Address - Street 1:BLDG 400 SUITE 403
Mailing Address - Street 2:9401 SW STATE ROAD 200
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-3977
Mailing Address - Country:US
Mailing Address - Phone:352-237-3191
Mailing Address - Fax:352-861-2118
Practice Address - Street 1:BLDG 400 SUITE 403
Practice Address - Street 2:9401 SW STATE ROAD 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-3977
Practice Address - Country:US
Practice Address - Phone:352-237-3191
Practice Address - Fax:352-861-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty