Provider Demographics
NPI:1881916781
Name:EASTERWOOD & ASSOCIATES, LLC
Entity type:Organization
Organization Name:EASTERWOOD & ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:EASTERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HAS
Authorized Official - Phone:850-476-1502
Mailing Address - Street 1:9013 UNIVERSITY PKWY
Mailing Address - Street 2:E
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-9416
Mailing Address - Country:US
Mailing Address - Phone:850-476-1502
Mailing Address - Fax:850-476-1503
Practice Address - Street 1:9013 UNIVERSITY PKWY
Practice Address - Street 2:E
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-9416
Practice Address - Country:US
Practice Address - Phone:850-476-1502
Practice Address - Fax:850-476-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FMAY977231H00000X
FLAS4234237700000X, 332S00000X
FLAY977332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty