Basic Information
| Provider Information | |||||||||
| NPI: | 1568780393 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SOUND ADVICE HEARING SOLUTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3173 4TH STREET NORTH | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337042124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278222132 | ||||||||
| FaxNumber: | 7278214248 | ||||||||
| Practice Location | |||||||||
| Address1: | 3173 4TH STREET NORTH | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337042124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278222132 | ||||||||
| FaxNumber: | 7278214248 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2010 | ||||||||
| LastUpdateDate: | 04/12/2018 | ||||||||
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| AuthorizedOfficialLastName: | THOMPSON | ||||||||
| AuthorizedOfficialFirstName: | ADAM | ||||||||
| AuthorizedOfficialMiddleName: | R. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7278222132 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332S00000X | AS4001 | FL | Y | Suppliers | Hearing Aid Equipment |
No ID Information.