Provider Demographics
NPI:1336578129
Name:HEARING CARE CENTERS LLC
Entity type:Organization
Organization Name:HEARING CARE CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLESHREN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:386-218-5981
Mailing Address - Street 1:760 S VOLUSIA AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-6541
Mailing Address - Country:US
Mailing Address - Phone:386-218-5981
Mailing Address - Fax:618-641-4849
Practice Address - Street 1:760 S VOLUSIA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-6541
Practice Address - Country:US
Practice Address - Phone:386-218-5981
Practice Address - Fax:618-641-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4974237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty