Provider Demographics
NPI:1316276934
Name:CENTRAL FL HEARING, INC.
Entity type:Organization
Organization Name:CENTRAL FL HEARING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-572-0033
Mailing Address - Street 1:11251 COUNTY ROAD 223
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484
Mailing Address - Country:US
Mailing Address - Phone:352-572-0033
Mailing Address - Fax:352-291-1794
Practice Address - Street 1:9570 SW HWY 200
Practice Address - Street 2:MIRACLE EAR HEARING INSIDE WALMART
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481
Practice Address - Country:US
Practice Address - Phone:352-291-1467
Practice Address - Fax:352-291-1794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
J8114OtherBLUE CROSS/BLUE SHIELD