1588080618 NPI number — HEARING SOLUTIONS OF THE GULF COAST

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588080618 NPI number — HEARING SOLUTIONS OF THE GULF COAST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING SOLUTIONS OF THE GULF COAST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588080618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8405 US HIGHWAY 301 N
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
PARRISH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34219-8604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-776-5555
Provider Business Mailing Address Fax Number:
941-776-5550

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8405 US HIGHWAY 301 N
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
PARRISH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34219-8604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-776-5555
Provider Business Practice Location Address Fax Number:
941-776-5550
Provider Enumeration Date:
03/13/2014

Additional Information

Authorized Official

Authorized Official Last Name:
OMALLEY
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
941-776-5555

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  233000 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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