# MOBILE AUDIOLOGY & HEARING AIDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Audiology & Hearing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134758550
- **Authorized official:** KIMBERLY HELEN DESMOND AUDIOLOGIST MS (AUDIOLOGIST/OWNER)
- **Authorized official phone:** (904) 445-1622

## Contact information

- **Practice address:** 905 BEACH BLVD STE B, JACKSONVILLE BEACH, FL 32250-4303
- **Practice address phone:** (904) 445-1622
- **Practice address fax:** (904) 293-1815
- **Mailing address:** 8550 TOUCHTON RD APT 2236, JACKSONVILLE, FL 32216-2237
- **Mailing address phone:** (904) 445-1622
- **Mailing address fax:** (904) 293-1815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2020
- **Last updated:** 07/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102216900 | — | FL |
| 01 | — | AY2158 | FLORIDA AUDIOLOGY LICENSE | FL |