Provider Demographics
NPI:1740878636
Name:ATLANTIC HEARING TECHNOLOGIES LLC
Entity type:Organization
Organization Name:ATLANTIC HEARING TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:HIS-BC
Authorized Official - Phone:352-989-6885
Mailing Address - Street 1:714 S US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-4540
Mailing Address - Country:US
Mailing Address - Phone:352-989-6885
Mailing Address - Fax:352-633-7194
Practice Address - Street 1:714 S US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-4540
Practice Address - Country:US
Practice Address - Phone:352-989-6885
Practice Address - Fax:352-633-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty