Provider Demographics
NPI:1013240555
Name:MINLY INC
Entity Type:Organization
Organization Name:MINLY INC
Other - Org Name:MIRACLE EAR HEARING AIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-270-8929
Mailing Address - Street 1:10855 S US HIGHWAY 1
Mailing Address - Street 2:MIRACLE EAR HEARING AIDS
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-6410
Mailing Address - Country:US
Mailing Address - Phone:772-337-2526
Mailing Address - Fax:
Practice Address - Street 1:10855 S US HIGHWAY 1
Practice Address - Street 2:MIRACLE EAR HEARING AIDS
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-6410
Practice Address - Country:US
Practice Address - Phone:772-337-2526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment