Healthcare Provider Details
I. General information
NPI: 1689822751
Provider Name (Legal Business Name): MEFL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2008
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11363 SAN JOSE BLVD STE 104
JACKSONVILLE FL
32223-7958
US
IV. Provider business mailing address
8300 CENTRAL PARK DR STE 100
WACO TX
76712-6666
US
V. Phone/Fax
- Phone: 904-329-1255
- Fax:
- Phone: 254-227-5189
- Fax: 254-772-4981
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
L
KEY
Title or Position: COO
Credential:
Phone: 254-230-4149