# AUDIOLOGY & HEARING CARE OF SOUTHWEST FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538563994
- **Authorized official:** DARLENE WELTON BALLEW AU.D. (AUDIOLOGIST/PRESIDENT)
- **Authorized official phone:** (239) 462-4021

## Contact information

- **Practice address:** 24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL 34134-1973
- **Practice address phone:** (239) 462-4021
- **Mailing address:** 24810 BURNT PINE DR, SUITE 2, BONITA SPRINGS, FL 34134-1973
- **Mailing address phone:** (239) 462-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AY1221 | FL | Yes |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 05/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1912172206 | NPI INDIVIDUAL-1, 1912172206 | FL |