Provider Demographics
NPI:1225253784
Name:ADVANCED HEARING AID SYSTEMS INC
Entity Type:Organization
Organization Name:ADVANCED HEARING AID SYSTEMS INC
Other - Org Name:MICHAEL CROSBY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-474-8393
Mailing Address - Street 1:655 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3705
Mailing Address - Country:US
Mailing Address - Phone:941-474-8393
Mailing Address - Fax:941-474-6057
Practice Address - Street 1:655 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3705
Practice Address - Country:US
Practice Address - Phone:941-474-8393
Practice Address - Fax:941-474-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL400129237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ8086OtherBCBSFL