Provider Demographics
NPI:1679960678
Name:ROYAL PALM HEARING AID CENTER OF EAST BOCA INC
Entity type:Organization
Organization Name:ROYAL PALM HEARING AID CENTER OF EAST BOCA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEJEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:HAS BC-HIS
Authorized Official - Phone:561-393-8955
Mailing Address - Street 1:180 ESPLANADE
Mailing Address - Street 2:SUITE 52A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4903
Mailing Address - Country:US
Mailing Address - Phone:561-393-8955
Mailing Address - Fax:
Practice Address - Street 1:180 ESPLANADE
Practice Address - Street 2:SUITE 52A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4903
Practice Address - Country:US
Practice Address - Phone:561-393-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1749332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment