UMATILLA OPTICAL & HEARING AID CENTER INC
Suppliers at Hatfield Dr, Umatilla, FL

License number
Florida DO3146
Category
Suppliers
Type
Eyewear Supplier (Equipment, not the service)
License number
Florida AS2700
Category
Suppliers
Type
Hearing Aid Equipment
Owner
Name: MRS. KATHLEEN BASTONE LDO
Title: OWNER
Phone: (352) 669-6888
Address
Address
570 Hatfield Dr, Umatilla, FL 32784
National Provider ID: 1841478484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UMATILLA OPTICAL & HEARING AID CENTER, INC

570 Hatfield Dr, Umatilla, FL 32784

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jul 17, 1990
Inactive since:
Jan 6, 1997
State ID:
L87859
Business type:
Florida Profit Corporation
President:
Kathleen Bastone (President), 570 Hatfield Dr, Umatilla, FL 32784 (Physical)
Agent:
Welke, Brian,531 N Bay St, Eustis, FL 32726 (Physical)
EIN:
593024353

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