Provider Demographics
NPI:1750772968
Name:BOBS BETTER HEARING LLC
Entity type:Organization
Organization Name:BOBS BETTER HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:BOARD CERTIFIED HIS
Authorized Official - Phone:941-249-4503
Mailing Address - Street 1:2200 KINGS HWY
Mailing Address - Street 2:2G
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980-5759
Mailing Address - Country:US
Mailing Address - Phone:941-249-4503
Mailing Address - Fax:941-249-4597
Practice Address - Street 1:2200 KINGS HWY
Practice Address - Street 2:2G
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-5759
Practice Address - Country:US
Practice Address - Phone:941-249-4503
Practice Address - Fax:941-249-4597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332S00000X
FL5032332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHAS AS 5032OtherFLORIDA STATE LICENSE