Provider Demographics
NPI:1457501942
Name:THORSEN HEARING SOLUTIONS INC.
Entity Type:Organization
Organization Name:THORSEN HEARING SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:THORSEN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:727-954-5702
Mailing Address - Street 1:5045 34TH ST S # 717
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4513
Mailing Address - Country:US
Mailing Address - Phone:727-954-5702
Mailing Address - Fax:
Practice Address - Street 1:7902 CITRUS PARK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625
Practice Address - Country:US
Practice Address - Phone:813-926-7019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3638261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech