Healthcare Provider Details

I. General information

NPI: 1174895460
Provider Name (Legal Business Name): MEFL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 BAYOU BLVD STE C
PENSACOLA FL
32503-1928
US

IV. Provider business mailing address

8300 CENTRAL PARK DR STE 100
WACO TX
76712-6666
US

V. Phone/Fax

Practice location:
  • Phone: 850-475-8887
  • Fax:
Mailing address:
  • Phone: 254-537-4422
  • Fax: 254-300-4619

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: LYNN MAXWELL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 254-537-4422