Healthcare Provider Details

I. General information

NPI: 1457753451
Provider Name (Legal Business Name): ALL CLEAR HEARING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 HIGHWAY 77
PANAMA CITY FL
32405-4411
US

IV. Provider business mailing address

2949 HIGHWAY 77
PANAMA CITY FL
32405-4411
US

V. Phone/Fax

Practice location:
  • Phone: 850-248-0497
  • Fax:
Mailing address:
  • Phone: 850-248-0497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4848
License Number StateFL

VIII. Authorized Official

Name: TAMMARA THOMPSON
Title or Position: OWNER
Credential:
Phone: 850-248-0497