Provider Demographics
NPI:1922631894
Name:NEXTGEN HEARING CENTERS
Entity Type:Organization
Organization Name:NEXTGEN HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SEVERINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-864-9145
Mailing Address - Street 1:2108 PARK AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5589
Mailing Address - Country:US
Mailing Address - Phone:904-375-0658
Mailing Address - Fax:
Practice Address - Street 1:2108 PARK AVE STE 108
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5589
Practice Address - Country:US
Practice Address - Phone:904-375-0658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty