Provider Demographics
NPI:1598256786
Name:STATE OF THE ART HEARING CENTERS OF FLORIDA LLC
Entity Type:Organization
Organization Name:STATE OF THE ART HEARING CENTERS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:P
Authorized Official - Last Name:CASDIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:HAS
Authorized Official - Phone:239-257-1204
Mailing Address - Street 1:3013 DEL PRADO BLVD S STE 7A
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7238
Mailing Address - Country:US
Mailing Address - Phone:239-257-1204
Mailing Address - Fax:
Practice Address - Street 1:3013 DEL PRADO BLVD S STE 7A
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7238
Practice Address - Country:US
Practice Address - Phone:239-257-1204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5345237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty