Provider Demographics
NPI:1588975015
Name:MINLY INC
Entity type:Organization
Organization Name:MINLY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:843-270-8929
Mailing Address - Street 1:11900 US HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:ELLABELL
Mailing Address - State:GA
Mailing Address - Zip Code:31308-3603
Mailing Address - Country:US
Mailing Address - Phone:843-270-8929
Mailing Address - Fax:
Practice Address - Street 1:8530 N WICKHAM RD
Practice Address - Street 2:#114
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-6616
Practice Address - Country:US
Practice Address - Phone:321-259-1029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL885047401332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment