Healthcare Provider Details

I. General information

NPI: 1679670897
Provider Name (Legal Business Name): MIL. CHRIS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23988 US HIGHWAY 19 N
CLEARWATER FL
33765-1563
US

IV. Provider business mailing address

23988 US HIGHWAY 19 N
CLEARWATER FL
33765-1563
US

V. Phone/Fax

Practice location:
  • Phone: 727-399-8040
  • Fax: 727-214-9315
Mailing address:
  • Phone: 727-399-8040
  • Fax: 727-214-9315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberAS1838
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S WHEELER
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 727-399-8040