Provider Demographics
NPI:1104149376
Name:C & M ENTERPRISES OF CENTRAL FL, INC
Entity type:Organization
Organization Name:C & M ENTERPRISES OF CENTRAL FL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTRUMENT S
Authorized Official - Phone:407-696-1777
Mailing Address - Street 1:236 EASTON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-696-1777
Mailing Address - Fax:407-696-7774
Practice Address - Street 1:5689 RED BUG LAKE ROAD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708
Practice Address - Country:US
Practice Address - Phone:407-696-1777
Practice Address - Fax:407-696-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1700237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty