Basic Information
| Provider Information | |||||||||
| NPI: | 1457501942 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THORSEN HEARING SOLUTIONS INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5045 34TH ST S # 717 | ||||||||
| Address2: | |||||||||
| City: | SAINT PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337114513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7279545702 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7902 CITRUS PARK DR | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139267019 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2008 | ||||||||
| LastUpdateDate: | 09/22/2008 | ||||||||
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| AuthorizedOfficialLastName: | THORSEN | ||||||||
| AuthorizedOfficialFirstName: | DARREN | ||||||||
| AuthorizedOfficialMiddleName: | GRAHAM | ||||||||
| AuthorizedOfficialTitleorPosition: | V.P | ||||||||
| AuthorizedOfficialTelephone: | 7279545702 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | BC-HIS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0700X | AS3638 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
No ID Information.