Provider Demographics
NPI:1831567841
Name:PURETONE HEARING AID CENTERS, INC.
Entity type:Organization
Organization Name:PURETONE HEARING AID CENTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:W
Authorized Official - Suffix:
Authorized Official - Credentials:B
Authorized Official - Phone:727-581-9135
Mailing Address - Street 1:10585 ULMERTON RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3529
Mailing Address - Country:US
Mailing Address - Phone:727-581-9135
Mailing Address - Fax:727-585-8569
Practice Address - Street 1:10585 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3529
Practice Address - Country:US
Practice Address - Phone:727-581-9135
Practice Address - Fax:727-585-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2443332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies