Organization
GULF COAST HEARING AID CENTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA LYNN WAGNER (OWNER)
(941) 708-6996
Entity
Organization
Contact information
Practice address
1441 TAMIAMI TRAIL, #491, PORT CHARLOTTE, FL 33948
(941) 255-1234
(941) 255-1047
Mailing address
10315 RIVERBANK TERRACE, BRADENTON, FL 34212
(941) 708-6996
(941) 708-6997
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS913
FL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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