Provider Demographics
NPI:1578799052
Name:WEST FLOORIDA HEARING AID CENTERS
Entity Type:Organization
Organization Name:WEST FLOORIDA HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:BA NBC-HIS
Authorized Official - Phone:850-475-3027
Mailing Address - Street 1:6400 N DAVIS HWY STE 8
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6968
Mailing Address - Country:US
Mailing Address - Phone:850-475-3027
Mailing Address - Fax:850-332-7892
Practice Address - Street 1:6400 N DAVIS HWY STE 8
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6968
Practice Address - Country:US
Practice Address - Phone:850-475-3027
Practice Address - Fax:850-332-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment