Organization
PROFESSIONAL HEARING CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BECKNER (PRESIDENT)
(863) 688-0777
Entity
Organization
Contact information
Practice address
1702 E EDGEWOOD DR, LAKELAND, FL 33803-3412
(863) 688-0777
(863) 688-4443
Mailing address
1702 E EDGEWOOD DR, LAKELAND, FL 33803-3412
(863) 688-0777
(863) 688-4443
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J001B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/18/2006
Last updated
01/04/2010
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