Provider Demographics
NPI:1710144316
Name:FRIENDSHIP HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:FRIENDSHIP HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LHIS
Authorized Official - Phone:941-488-8892
Mailing Address - Street 1:836 PINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-7123
Mailing Address - Country:US
Mailing Address - Phone:941-488-8892
Mailing Address - Fax:941-480-0182
Practice Address - Street 1:836 PINEBROOK RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-7123
Practice Address - Country:US
Practice Address - Phone:941-488-8892
Practice Address - Fax:941-480-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4187332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment