Provider Demographics
NPI:1245287036
Name:AUDITORY VENTURES LLC
Entity type:Organization
Organization Name:AUDITORY VENTURES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:850-553-4327
Mailing Address - Street 1:1875 PROFESSIONAL PARK CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4506
Mailing Address - Country:US
Mailing Address - Phone:850-553-4327
Mailing Address - Fax:850-877-3084
Practice Address - Street 1:1875 PROFESSIONAL PARK CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4506
Practice Address - Country:US
Practice Address - Phone:850-553-4327
Practice Address - Fax:850-877-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY623 AND AY 1237261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2663OtherBCBS FOR DR. RICHARD D. W
FLS2680OtherBCBS FOR DR. JOHN H. KOON
FLS2680OtherBCBS FOR DR. JOHN H. KOON
FLS2680ZMedicare ID - Type UnspecifiedFOR DR. JOHN H. KOONZ
FLR80112Medicare UPIN
FLS2663ZMedicare ID - Type UnspecifiedFOR DR. RICHARD D. WRIGHT