Provider Demographics
NPI:1053178384
Name:INDIAN RIVER HEARING CENTER, LLC
Entity type:Organization
Organization Name:INDIAN RIVER HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:772-978-9880
Mailing Address - Street 1:491 22ND PL
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6002
Mailing Address - Country:US
Mailing Address - Phone:772-978-9880
Mailing Address - Fax:772-365-3965
Practice Address - Street 1:491 22ND PL
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6002
Practice Address - Country:US
Practice Address - Phone:772-978-9880
Practice Address - Fax:772-365-3965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty