Healthcare Provider Details
I. General information
NPI: 1831480912
Provider Name (Legal Business Name): HEARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2011
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8405 US HIGHWAY 301 N SUITE 301
PARRISH FL
34219-8604
US
IV. Provider business mailing address
8405 US HIGHWAY 301 N SUITE 301
PARRISH FL
34219-8604
US
V. Phone/Fax
- Phone: 941-776-5555
- Fax: 941-776-5550
- Phone: 941-776-5555
- Fax: 941-776-5550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | AS 3529 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
HENRY
OMALLEY
Title or Position: OWNER
Credential:
Phone: 941-776-5555