Provider Demographics
NPI:1861829723
Name:GUILLOT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:GUILLOT ENTERPRISES, LLC
Other - Org Name:AUDIBEL HEARING AND AUDIOLOGY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLOT
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:352-377-4111
Mailing Address - Street 1:4130 NW 37TH PL
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-8152
Mailing Address - Country:US
Mailing Address - Phone:352-377-4111
Mailing Address - Fax:352-367-1453
Practice Address - Street 1:32703 RADIO RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3979
Practice Address - Country:US
Practice Address - Phone:352-326-4079
Practice Address - Fax:352-728-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2565261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech