Healthcare Provider Details
I. General information
NPI: 1184827651
Provider Name (Legal Business Name): TAMPA BAY HEARING HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13002 SEMINOLE BLVD SUITE 2
LARGO FL
33778-2125
US
IV. Provider business mailing address
421 GRAHAM RD SUITE A
CUYAHOGA FALLS OH
44221-1344
US
V. Phone/Fax
- Phone: 727-581-9135
- Fax: 727-581-9174
- Phone: 330-929-3312
- Fax: 330-929-7634
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: MR.
MICHAEL
E
TESSMER
Title or Position: PRESIDENT
Credential:
Phone: 330-929-3312