Organization Name: | GUILLOT ENTERPRISES, LLC |
NPI Number: | 1174950083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM GUILLOT (PRESIDENT/OWNER) |
Mailing Address: | 1107 S Walnut St Starke |
State: | FL US |
Postal Code: | 320914413 |
Phone Number: | 9049644327 |
Fax Number: | 9043680574 |
NPI Enumeration Date: | 10/09/2013 |
NPI Last Update Date: | 10/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | AS4869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |