Provider Demographics
NPI:1447507322
Name:FRESHEARING LLC
Entity type:Organization
Organization Name:FRESHEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:305-439-4292
Mailing Address - Street 1:5143 SW 129TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5837
Mailing Address - Country:US
Mailing Address - Phone:305-439-4292
Mailing Address - Fax:
Practice Address - Street 1:5143 SW 129TH TER
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5837
Practice Address - Country:US
Practice Address - Phone:305-439-4292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1006231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty