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Organization
PARKSIDE AUDIOLOGY LLC
Active
Organization
PARKSIDE AUDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN HERRMANN DECELLES AU.D. (OWNER)
(813) 751-2263
Entity
Organization
Contact information
Practice address
3825 HENDERSON BLVD STE 600, TAMPA, FL 33629-5032
(813) 391-4333
Mailing address
3825 HENDERSON BLVD STE 600, TAMPA, FL 33629-5032
(813) 751-2263
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
03/09/2022
Last updated
08/04/2025
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