Provider Demographics
NPI:1295290708
Name:HARBOR CITY HEARING SOLUTIONS
Entity type:Organization
Organization Name:HARBOR CITY HEARING SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:321-622-6385
Mailing Address - Street 1:3145 SUNTREE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-5720
Mailing Address - Country:US
Mailing Address - Phone:321-622-6385
Mailing Address - Fax:321-989-6588
Practice Address - Street 1:3145 SUNTREE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5720
Practice Address - Country:US
Practice Address - Phone:321-622-6385
Practice Address - Fax:321-989-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center