Healthcare Provider Details

I. General information

NPI: 1568604874
Provider Name (Legal Business Name): VOLUSIA COUNTY INSTRUMENTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

879 N VOLUSIA AVE
ORANGE CITY FL
32763-4847
US

IV. Provider business mailing address

879 N VOLUSIA AVE
ORANGE CITY FL
32763-4847
US

V. Phone/Fax

Practice location:
  • Phone: 386-775-4800
  • Fax: 386-775-4893
Mailing address:
  • Phone: 386-775-4800
  • Fax: 386-775-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberAS2685
License Number StateFL

VIII. Authorized Official

Name: MRS. DONNA L EBERT
Title or Position: LICENSED HEARING AID SPECIALISTS
Credential: LHAS, BC-HIS
Phone: 386-775-4800