Provider Demographics
NPI:1619105681
Name:A & E HEARING INC.
Entity Type:Organization
Organization Name:A & E HEARING INC.
Other - Org Name:GULF GATE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:KOUDELKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-639-3232
Mailing Address - Street 1:610 E OLYMPIA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3875
Mailing Address - Country:US
Mailing Address - Phone:941-639-3232
Mailing Address - Fax:941-639-0379
Practice Address - Street 1:610 E OLYMPIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3875
Practice Address - Country:US
Practice Address - Phone:941-639-3232
Practice Address - Fax:941-639-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4027332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment