Provider Demographics
NPI:1205466166
Name:NATIONSHEARING IPA LLC
Entity type:Organization
Organization Name:NATIONSHEARING IPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-939-3290
Mailing Address - Street 1:1700 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4107
Mailing Address - Country:US
Mailing Address - Phone:877-439-2665
Mailing Address - Fax:954-939-3288
Practice Address - Street 1:1700 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4107
Practice Address - Country:US
Practice Address - Phone:877-439-2665
Practice Address - Fax:954-939-3288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONSBENEFITS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-20
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment