Basic Information
| Provider Information | |||||||||
| NPI: | 1659645422 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEFL, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1404 S NEW RD | ||||||||
| Address2: | |||||||||
| City: | WACO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 767111335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2545374422 | ||||||||
| FaxNumber: | 2543004619 | ||||||||
| Practice Location | |||||||||
| Address1: | 7640 N WICKHAM RD | ||||||||
| Address2: | STE #113 | ||||||||
| City: | VIERA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329408146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3212591029 | ||||||||
| FaxNumber: | 3212591037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2012 | ||||||||
| LastUpdateDate: | 09/15/2017 | ||||||||
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| AuthorizedOfficialLastName: | BEHELER | ||||||||
| AuthorizedOfficialFirstName: | KRISTIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2545374422 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.