Provider Demographics
NPI:1942469853
Name:HEARING ASSOCIATES OF CENTRAL FLORIDA LLC
Entity type:Organization
Organization Name:HEARING ASSOCIATES OF CENTRAL FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:407-898-2220
Mailing Address - Street 1:3113 LAWTON RD STE 109
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3519
Mailing Address - Country:US
Mailing Address - Phone:407-898-2220
Mailing Address - Fax:877-769-2047
Practice Address - Street 1:3113 LAWTON RD STE 109
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3519
Practice Address - Country:US
Practice Address - Phone:407-898-2220
Practice Address - Fax:877-769-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2910120OtherUNITEDHEALTH CARE
FL000200200Medicaid
FLS9268OtherBLUE CROSS BLUE SHIELD