Provider Demographics
NPI:1992096077
Name:MD HEARING LLC
Entity type:Organization
Organization Name:MD HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWANEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:727-807-7082
Mailing Address - Street 1:5347 MAIN ST
Mailing Address - Street 2:102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2506
Mailing Address - Country:US
Mailing Address - Phone:727-807-7082
Mailing Address - Fax:727-807-7083
Practice Address - Street 1:5347 MAIN STREET
Practice Address - Street 2:102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2506
Practice Address - Country:US
Practice Address - Phone:727-807-7082
Practice Address - Fax:727-807-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3911237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty