Healthcare Provider Details

I. General information

NPI: 1255352191
Provider Name (Legal Business Name): AMERICAN HEARING CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5307 S FLORIDA AVE
LAKELAND FL
33813-4913
US

IV. Provider business mailing address

5307 S FLORIDA AVE
LAKELAND FL
33813-4913
US

V. Phone/Fax

Practice location:
  • Phone: 863-644-8557
  • Fax:
Mailing address:
  • Phone: 863-644-8557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberAS2462
License Number StateFL

VIII. Authorized Official

Name: MR. WILLIAM L NICKELL
Title or Position: PRESIDENT
Credential:
Phone: 863-644-8557