| Organization Name: | GUILLOT ENTERPRISES, LLC |
| NPI Number: | 1194153858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM GUILLOT (PRESIDENT/OWNER) |
| Mailing Address: | 1209 Airport Rd Suite 5 Destin |
| State: | FL US |
| Postal Code: | 325412949 |
| Phone Number: | 8508373247 |
| Fax Number: | 8508376460 |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | AS4755 |
| 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. |