MEDICARE: PALM BEACH HEARING CARE CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	AS2770	FL

General Provider Information

NPI Number	:	1144699836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH HEARING CARE CENTERS, INC.

Provider Business Mailing Address
First Line	:	2905 N MILITARY TRL STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2921
Country	:	US
Telephone Number	:	561-644-7902
Fax Number	:

Provider Business Practice Location Address
First Line	:	2905 N MILITARY TRL STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2921
Country	:	US
Telephone Number	:	561-644-7902
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT RANERE
Credential	:
Telephone Number	:	561-644-7902

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

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