Provider Demographics
NPI:1598214371
Name:FLORIDA REGIONAL CONSULTANTS
Entity Type:Organization
Organization Name:FLORIDA REGIONAL CONSULTANTS
Other - Org Name:INTEGRITY MEDICAL HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CONSULANT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAWLESS
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:321-327-5922
Mailing Address - Street 1:306 E NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4506
Mailing Address - Country:US
Mailing Address - Phone:321-327-5922
Mailing Address - Fax:
Practice Address - Street 1:306 E NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4506
Practice Address - Country:US
Practice Address - Phone:321-327-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4885332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment