Provider Demographics
NPI:1104285014
Name:STEFA FAMILY HEARING CARE, LLC
Entity type:Organization
Organization Name:STEFA FAMILY HEARING CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING AID SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-858-3563
Mailing Address - Street 1:10002 FRIERSON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-3401
Mailing Address - Country:US
Mailing Address - Phone:727-858-3563
Mailing Address - Fax:
Practice Address - Street 1:4044 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2398
Practice Address - Country:US
Practice Address - Phone:727-858-3563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment