Doctor Name: | WALTER MAZEIKO |
NPI Number: | 1730500117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HAS |
License Number: | AS 4984 |
Business Practice Address: | 2221c Tamiami Trl Suite #c Port Charlotte, FL - 339482104 |
Business Phone Number: | 9416253366 |
Business Fax Number: | |
Mailing Address: | 2221c Tamiami Trl, Unit 5-260 PORT CHARLOTTE |
State: | FL |
Postal Code: | 339482104 |
Phone Number: | 9416253366 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2014 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | AS 4984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |