Provider Demographics
NPI:1487740478
Name:AUDIOLOGY ASSOCIATES OF BOCA RATON, INC.
Entity type:Organization
Organization Name:AUDIOLOGY ASSOCIATES OF BOCA RATON, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:561-932-1200
Mailing Address - Street 1:1975 SANSBURY'S WAY
Mailing Address - Street 2:UNIT 115
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-932-1200
Mailing Address - Fax:561-932-1210
Practice Address - Street 1:2831 NORTH FEDERAL HIGHWAY
Practice Address - Street 2:#11
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-392-0020
Practice Address - Fax:561-392-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL060020854332S00000X
FL332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment