Florida State Hearing AIDS Inc

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS2626 Issued in FL

Legal business name

FLORIDA STATE HEARING AIDS INC

Practice address

1808 West International Speedway Blvd
Suite 305
Daytona Beach, FL 32114-1227

Phone

(386) 226-0007

Fax

(386) 226-3037

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Julie Pruitt, FL LHAS HIS AS2626

Title

Owner

Phone

(386) 226-0007

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1275721508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 WEST INTERNATIONAL SPEEDWAY BLVD",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141227",
            "telephone_number": "386-226-0007",
            "fax_number": "386-226-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WEST INTERNATIONAL SPEEDWAY BLVD",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141227",
            "telephone_number": "386-226-0007",
            "fax_number": "386-226-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA STATE HEARING AIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-226-0007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FL LHAS HIS AS2626"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J8134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.