Provider Demographics
NPI:1467620096
Name:ZEPHYR HEARING AID CENTER
Entity Type:Organization
Organization Name:ZEPHYR HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PETTY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:813-782-2521
Mailing Address - Street 1:38113 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4973
Mailing Address - Country:US
Mailing Address - Phone:813-782-5212
Mailing Address - Fax:813-779-4289
Practice Address - Street 1:38113 5TH AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-4973
Practice Address - Country:US
Practice Address - Phone:813-782-5212
Practice Address - Fax:813-779-4289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment