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Organization
ACTIVE LIFE AUDIOLOGY INC
Active
Organization
ACTIVE LIFE AUDIOLOGY INC
Active
Other names
Active Life Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MICHANNE ALEXIS DAVIDSON AU.D. (AUDIOLOGIST AND OWNER)
(561) 221-0450
Entity
Organization
Contact information
Practice address
8903 GLADES RD STE A14, BOCA RATON, FL 33434-4023
(561) 221-0450
(954) 827-0591
Mailing address
8903 GLADES RD STE A-14A, BOCA RATON, FL 33434-4074
(561) 221-0450
(561) 423-4084
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023122400
—
FL
Enumeration date
03/29/2016
Last updated
11/09/2023
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