Provider Demographics
NPI:1063073799
Name:REAMS, ERIC NOLAND (LHAS)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:NOLAND
Last Name:REAMS
Suffix:
Gender:M
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13174 DRYSDALE ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-4241
Mailing Address - Country:US
Mailing Address - Phone:727-692-3555
Mailing Address - Fax:
Practice Address - Street 1:4076 E SR 44
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-7486
Practice Address - Country:US
Practice Address - Phone:727-692-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4416237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist