Healthcare Provider Details

I. General information

NPI: 1457812174
Provider Name (Legal Business Name): SEBRING MEDICAL HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 US HIGHWAY 27 S
SEBRING FL
33870-2105
US

IV. Provider business mailing address

4119 SUN N LAKE BLVD
SEBRING FL
33872-2131
US

V. Phone/Fax

Practice location:
  • Phone: 512-970-0384
  • Fax:
Mailing address:
  • Phone: 512-970-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE L REINSHUTTLE
Title or Position: OWNER
Credential: BC-HIS
Phone: 512-970-0384