Provider Demographics
NPI:1972743961
Name:GIBSON'S HEARING TECHNOLOGIES
Entity Type:Organization
Organization Name:GIBSON'S HEARING TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDEBT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:941-927-2424
Mailing Address - Street 1:2344 BEE RIDGE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6252
Mailing Address - Country:US
Mailing Address - Phone:941-927-2424
Mailing Address - Fax:941-927-2426
Practice Address - Street 1:2344 BEE RIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6252
Practice Address - Country:US
Practice Address - Phone:941-927-2424
Practice Address - Fax:941-927-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2458332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment