Provider Demographics
NPI:1730363714
Name:HEARING & BALANCE ASSOCIATES, LLC
Entity type:Organization
Organization Name:HEARING & BALANCE ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:KOONZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:850-553-4327
Mailing Address - Street 1:1818 MICCOSUKEE COMMONS DRIVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-553-4327
Mailing Address - Fax:850-877-3084
Practice Address - Street 1:1818 MICCOSUKEE COMMONS DRIVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-553-4327
Practice Address - Fax:850-877-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY623231H00000X
FLAY1237231H00000X, 237600000X
GAAUD003606237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2680OtherBCBS
FLK5415Medicare UPIN
FLS2680OtherBCBS