Healthcare Provider Details

I. General information

NPI: 1770275539
Provider Name (Legal Business Name): MEFL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E REDSTONE AVE STE B150E
CRESTVIEW FL
32539-5357
US

IV. Provider business mailing address

8300 CENTRAL PARK DR STE 100
WACO TX
76712-6667
US

V. Phone/Fax

Practice location:
  • Phone: 850-423-3196
  • Fax:
Mailing address:
  • Phone: 254-227-6825
  • Fax: 254-300-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: NIDIA GARCIA
Title or Position: VP OF MARKETING
Credential:
Phone: 254-227-6825