Provider Demographics
NPI:1396098588
Name:ROYAL PALM HEARING AID CENTER OF EAST BOCA
Entity type:Organization
Organization Name:ROYAL PALM HEARING AID CENTER OF EAST BOCA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SCHEPPSKE
Authorized Official - Suffix:JR
Authorized Official - Credentials:HAS - BC- HIS
Authorized Official - Phone:561-393-8955
Mailing Address - Street 1:8122 GLADES RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434
Mailing Address - Country:US
Mailing Address - Phone:561-368-7600
Mailing Address - Fax:561-395-6503
Practice Address - Street 1:8122 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-368-7600
Practice Address - Fax:561-395-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2691231HA2400X
FLAS2488231HA2400X
FLAY227231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL231HA2400XOtherVETRANS ADMINISTRATION