Organization
FLORIDA STATE HEARING AIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE PRUITT FL LHAS HIS AS2626 (OWNER)
(386) 226-0007
Entity
Organization
Contact information
Practice address
1808 WEST INTERNATIONAL SPEEDWAY BLVD, SUITE 305, DAYTONA BEACH, FL 32114-1227
(386) 226-0007
(386) 226-3037
Mailing address
1808 WEST INTERNATIONAL SPEEDWAY BLVD, SUITE 305, DAYTONA BEACH, FL 32114-1227
(386) 226-0007
(386) 226-3037
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8134
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/11/2007
Last updated
10/23/2007
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