Healthcare Provider Details

I. General information

NPI: 1477005023
Provider Name (Legal Business Name): MEFL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2016
Last Update Date: 09/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 SW BASCOM NORRIS DR STE 111
LAKE CITY FL
32025-1513
US

IV. Provider business mailing address

8300 CENTRAL PARK DR STE 100
WACO TX
76712-6666
US

V. Phone/Fax

Practice location:
  • Phone: 386-466-0902
  • Fax:
Mailing address:
  • Phone: 386-466-0902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DANA STEM
Title or Position: ACCOUNTING SUPERVISOR
Credential:
Phone: 254-307-3512