Provider Demographics
NPI:1073838751
Name:TERREZZA'S WHOLESALE HEARING, INC
Entity Type:Organization
Organization Name:TERREZZA'S WHOLESALE HEARING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:TERREZZA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:850-456-5059
Mailing Address - Street 1:5585 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4344
Mailing Address - Country:US
Mailing Address - Phone:850-983-8199
Mailing Address - Fax:
Practice Address - Street 1:800 N FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-4313
Practice Address - Country:US
Practice Address - Phone:850-456-5059
Practice Address - Fax:850-456-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty