Provider Demographics
NPI:1285336784
Name:SOUTHEAST HEARING PARTNERS, LLC
Entity type:Organization
Organization Name:SOUTHEAST HEARING PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-367-1623
Mailing Address - Street 1:851 BROKEN SOUND PKWY NW STE 120
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3638
Mailing Address - Country:US
Mailing Address - Phone:561-367-1623
Mailing Address - Fax:561-299-5438
Practice Address - Street 1:9156 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-3148
Practice Address - Country:US
Practice Address - Phone:727-393-3775
Practice Address - Fax:561-299-5438
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHEAST HEARING PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty