Organization Active NPI

Mid Florida Hearing, LLC

  • Hearing Aid Equipment
  • Leesburg, FL
National Provider Identifier
1184016875
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
AS2734 Issued in FL
Legal business name
MID FLORIDA HEARING, LLC
Practice address
10601 US Highway 441
Unit E-1
Leesburg, FL 34788-7237
Phone
(352) 360-0023
Fax
(352) 360-0013
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Mark Eller, HAS, BC-HIS
Title
MGR
Phone
(352) 360-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X AS2734 FL Primary

Addresses

Primary practice location

10601 US Highway 441
Unit E-1
Leesburg, FL 34788-7237

Mailing address

10601 US Highway 441
Unit E-1
Leesburg, FL 34788-7237
Phone (352) 360-0023

National Provider Directory

National Provider Directory

Locations

10601 US Highway 441
Ste E1
Leesburg, FL 34788
Phone (352) 315-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1184016875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 US HIGHWAY 441",
            "address_2": "UNIT E-1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887237",
            "telephone_number": "352-360-0023",
            "fax_number": "352-360-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 US HIGHWAY 441",
            "address_2": "UNIT E-1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887237",
            "telephone_number": "352-360-0023",
            "fax_number": "352-360-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA HEARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-360-0023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HAS, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.