Healthcare Provider Details

I. General information

NPI: 1073838751
Provider Name (Legal Business Name): TERREZZA'S WHOLESALE HEARING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N FAIRFIELD DR
PENSACOLA FL
32506-4313
US

IV. Provider business mailing address

5585 STEWART ST
MILTON FL
32570-4344
US

V. Phone/Fax

Practice location:
  • Phone: 850-456-5059
  • Fax: 850-456-0461
Mailing address:
  • Phone: 850-983-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: GENE J TERREZZA
Title or Position: OWNER
Credential: O.D.
Phone: 850-456-5059