Provider Demographics
NPI:1235519679
Name:PURE SOUND HEARING CENTERS, LLC.
Entity Type:Organization
Organization Name:PURE SOUND HEARING CENTERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALTOM
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:352-245-2333
Mailing Address - Street 1:10935 SE 177TH PL
Mailing Address - Street 2:203
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8975
Mailing Address - Country:US
Mailing Address - Phone:352-245-2333
Mailing Address - Fax:352-245-2338
Practice Address - Street 1:10935 SE 177TH PL
Practice Address - Street 2:203
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-8975
Practice Address - Country:US
Practice Address - Phone:352-245-2333
Practice Address - Fax:352-245-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2800261QH0700X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment