Provider Demographics
NPI:1871882530
Name:HEARING AID CENTERS OF SW FLORIDA, INC
Entity type:Organization
Organization Name:HEARING AID CENTERS OF SW FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:RAHILLY
Authorized Official - Suffix:
Authorized Official - Credentials:HS
Authorized Official - Phone:239-481-4327
Mailing Address - Street 1:1469 COLONIAL BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1032
Mailing Address - Country:US
Mailing Address - Phone:239-481-4327
Mailing Address - Fax:239-481-4327
Practice Address - Street 1:1469 COLONIAL BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1032
Practice Address - Country:US
Practice Address - Phone:239-481-4327
Practice Address - Fax:239-481-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4460332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment