Healthcare Provider Details
I. General information
NPI: 1437918414
Provider Name (Legal Business Name): MEFL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16840 US HIGHWAY 441
MOUNT DORA FL
32757-6713
US
IV. Provider business mailing address
8300 CENTRAL PARK DR STE 100
WACO TX
76712-6666
US
V. Phone/Fax
- Phone: 352-720-0488
- Fax:
- Phone: 254-227-6825
- Fax: 254-300-4990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIDIA
GARCIA
Title or Position: VP OF MARKETING
Credential:
Phone: 254-227-6825