Healthcare Provider Details

I. General information

NPI: 1194061069
Provider Name (Legal Business Name): CHRISTOPHER PATRICK THOMAS LHAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2012
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 NW 37TH PL STE C
GAINESVILLE FL
32606-8152
US

IV. Provider business mailing address

4130 NW 37TH PL STE C
GAINESVILLE FL
32606-8152
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-4111
  • Fax:
Mailing address:
  • Phone: 352-377-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: