Provider Demographics
NPI:1932529385
Name:PREMEAR HEARING CLINICS LLC
Entity type:Organization
Organization Name:PREMEAR HEARING CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:SMALT
Authorized Official - Suffix:
Authorized Official - Credentials:L-HAS
Authorized Official - Phone:352-236-6700
Mailing Address - Street 1:4414 SW COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4790
Mailing Address - Country:US
Mailing Address - Phone:352-236-6700
Mailing Address - Fax:352-236-6701
Practice Address - Street 1:4414 SW COLLEGE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4790
Practice Address - Country:US
Practice Address - Phone:352-236-6700
Practice Address - Fax:352-236-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4859332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment