Organization Name: | DESTIN HEARING SPECIALISTS, LLC |
NPI Number: | 1356601967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAN M. MCWILLIAMS (OWNER) |
Mailing Address: | 50 S Holiday Rd Suite 400 Miramar Beach |
State: | FL US |
Postal Code: | 325508606 |
Phone Number: | 8506543373 |
Fax Number: | 8506543369 |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | L05000122403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |