Provider Demographics
NPI:1194075838
Name:ADVANCED HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:ADVANCED HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / HEARING AID SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED HEARTING AI
Authorized Official - Phone:772-567-2811
Mailing Address - Street 1:522 21ST STREET
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-567-2811
Mailing Address - Fax:772-770-4436
Practice Address - Street 1:522 21ST STREET
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-567-2811
Practice Address - Fax:772-770-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#AS0002127237700000X
FL#AS0003756237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty