NPIMap

Organization Active NPI

Mallory Ventsam Enterprises, LLC

  • Hearing Aid Equipment
  • Hudson, FL
National Provider Identifier
1437590965
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
MALLORY VENTSAM ENTERPRISES, LLC
Practice address
8125 State Road 52
Hudson, FL 34667-6728
Phone
(727) 378-8542
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Mallory Ventsam
Title
President
Phone
(727) 797-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

8125 State Road 52
Hudson, FL 34667-6728

Mailing address

12627 Portmarnock Dr
Odessa, FL 33556-5416

Other names 1

  • All About Hearing Aids Gulf Coast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All About Hearing AIDS Gulf Coast4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8125 State Road 52
Hudson, FL 34667
Phone (727) 378-8542

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1437590965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 PORTMARNOCK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676728",
            "telephone_number": "727-378-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY VENTSAM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "VENTSAM",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-797-6500"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Hearing Aids Gulf Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.